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
- 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 |
|---|---|---|---|
| Nancy G. Mayer | Professional | Past | Accepting new patients |
| Bridge Therapeutic Services PLLC | 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 and National Provider Directory roles.
-
- Professional Counselor
- Tyler, TX
- NPI 1336555499
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.