Active NPI
Kristen Amelia Gallien
- Professional Counselor
- Houston, TX
National Provider Identifier
1598235855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 80691
- Practice address
- 1501 Crocker St Apt 2
Houston, TX 77019-4371 - Phone
- (832) 559-2622
- NPI assigned
- Nov 29, 2018
- Last updated
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 80691 | TX | Primary |
Addresses
Primary practice location
1501 Crocker St Apt 2
Houston, TX 77019-4371
Mailing address
1501 Crocker St Apt 2
Houston, TX 77019-4371
Phone (832) 559-2622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528490364 | Other | TX | PRIVATE INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2024 through Feb 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80691 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1598235855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 CROCKER ST APT 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770194371",
"telephone_number": "832-559-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CROCKER ST APT 2",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770194371",
"telephone_number": "832-559-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLIEN",
"first_name": "KRISTEN",
"middle_name": "AMELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "80691",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "1528490364",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.