Active NPI
Kristina Nicole Durene
- Professional Counselor
- Houston, TX
National Provider Identifier
1609321603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 93379
- Practice address
- 17350 State Highway 249 Ste 220
Houston, TX 77064-1132 - Phone
- (253) 527-7783
- NPI assigned
- Aug 19, 2016
- Last updated
- Apr 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60922020 | WA | |
| Professional Counselor | 101YP2500X | 93379 | TX | Primary |
Addresses
Primary practice location
17350 State Highway 249 Ste 220
Houston, TX 77064-1132
Mailing address
6420 Heather Dr
Watauga, TX 76148-1715
Phone (612) 384-6305
Other practice location 1
6420 Heather Dr
Watauga, TX 76148-1715
Phone (253) 527-7783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2323 S Voss Rd
Suite 203J
Houston, TX 77057-3814
Phone (240) 201-3386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60922020 | WA | MD | Mental Health Counselor |
| 93379 | TX | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1609321603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 HEATHER DR",
"city": "WATAUGA",
"state": "TX",
"postal_code": "761481715",
"telephone_number": "612-384-6305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 STATE HIGHWAY 249 STE 220",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770641132",
"telephone_number": "253-527-7783"
}
],
"practiceLocations": [
{
"address_1": "6420 Heather Dr",
"address_purpose": "LOCATION",
"city": "Watauga",
"state": "TX",
"postal_code": "761481715",
"country_code": "US",
"telephone_number": "253-527-7783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURENE",
"first_name": "KRISTINA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-19",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60922020",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "93379",
"primary": true
}
],
"identifiers": [],
"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 Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.