Kathi Boren
Individual provider Active NPI Professional Counselor · Perryton, TX
NPI 1609258391 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1609258391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0013651 (CO)
- Practice address
- 514 S Main St
Perryton, TX 79070-3152 - Phone
- (806) 202-8681
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Perryton, TX 79070
Phone (806) 202-8681
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240202001051 | TX | Practitioner - Mental Health Counselor | 3678926912 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0013651 | CO | MD | Professional Counselor |
| 2763 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Area Behavioral Health LLC | Professional | Current |
Accepting new patients |
Locations
514 S Main St
Perryton, TX 79070
Phone (806) 202-8681
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2763 | KS | |
| Professional Counselor | 101YP2500X | 0013651 | CO | Yes |
Addresses
Primary practice location
514 S Main St
Perryton, TX 79070-3152
Mailing address
1305 S Harvard St
Perryton, TX 79070-4412
Phone (806) 202-8681
Other providers in Perryton, TX
- Lyudmyla Battin
- Janet Becerril
- Blasingame Anesthesia PLLC
- Jay Blasingame
- Megan M Blasingame
- Brady Burdick
- Capstone-Perryton Opco LLC
- Manon Childers
- Susan White Childers
- Chiropractic Health Center
All providers in Perryton, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.