Kristal Burton, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2703 Issued in MS

Practice address

357 Towne Center PL Ste 402
Ridgeland, MS 39157-4844

Phone

(601) 934-1497

NPI assigned

Jul 9, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stillwaters Counseling

  • Mental Health Counselor
  • Decatur, MS
  • NPI 1073495263

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1629620836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 FOURTH AVE",
            "city": "DECATUR",
            "state": "MS",
            "postal_code": "393279713",
            "telephone_number": "601-934-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TOWNE CENTER PL STE 402",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574844",
            "telephone_number": "601-934-1497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 Towne Center Pl Ste 402",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391574844",
            "country_code": "US",
            "telephone_number": "601-934-1497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Fourth Ave",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "MS",
            "postal_code": "393279713",
            "country_code": "US",
            "telephone_number": "601-934-1497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KRISTAL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "P-0529",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osheyauna Burns, BEHAVIOR TECHNICIAN
• Melody Michal Burrage, OT
• Burrage'S Inc
• Charity Burt
• Ashton Noelle Burton
• Meghan J Butler, MS, CCC-SLP
• Kayleigh M Byrd
• Taylor Kristen Byrd
• C. Nicole Banks LCSW, Behavior Health, Counseling & Consulting Service
• Martha Jordan Cain, PHD

• All providers in Ridgeland, MS
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.