Active NPI
Katrina Hines-Ligon, MA, MS, LPC
- Professional Counselor
- Tyler, TX
National Provider Identifier
1669822912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69864
- Practice address
- 1820 Shiloh Rd Ste 1404
Tyler, TX 75703-2436 - Phone
- (903) 216-0414
- NPI assigned
- Jun 17, 2016
- Last updated
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 69864 | TX | Primary |
Addresses
Primary practice location
1820 Shiloh Rd Ste 1404
Tyler, TX 75703-2436
Mailing address
1820 Shiloh Rd Ste 1404
Tyler, TX 75703-2436
Phone (903) 216-0414
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.khl-counseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69864 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Therapeutic Services PLLC | Professional | Past | Accepting new patients |
| Nancy G. Mayer | Professional | Past | Accepting new patients |
Organizations & group practices 2
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": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1669822912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 SHILOH RD STE 1404",
"city": "TYLER",
"state": "TX",
"postal_code": "757032436",
"telephone_number": "903-216-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 SHILOH RD STE 1404",
"city": "TYLER",
"state": "TX",
"postal_code": "757032436",
"telephone_number": "903-216-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES-LIGON",
"first_name": "KATRINA",
"name_prefix": "Ms.",
"credential": "MA, MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69864",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.khl-counseling.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1820 Shiloh Rd Ste 1404",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757032436",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.