Individual provider Active NPI

Svetlana Kutikova

  • Mental Health Counselor
  • Frisco, TX
National Provider Identifier
1639885486
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
89532 Issued in TX
Practice address
400 Stonebrook Pkwy Unit 601
Frisco, TX 75036-3122
Phone
(469) 207-3935
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89532 TX
Mental Health Counselor 101YM0800X 89532 TX Primary

Addresses

Primary practice location

400 Stonebrook Pkwy Unit 601
Frisco, TX 75036-3122

Mailing address

15117 Fishtrap Rd Apt 9201
Aubrey, TX 76227-6669
Phone (347) 755-5491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.svetlanakutikova@136732.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1639885486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15117 FISHTRAP RD APT 9201",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762276669",
            "telephone_number": "347-755-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STONEBROOK PKWY UNIT 601",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750363122",
            "telephone_number": "469-207-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTIKOVA",
        "first_name": "SVETLANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89532",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.