Active NPI
Vivian S Kemp, L.P.C.
- Professional Counselor
- Tyler, TX
National Provider Identifier
1679564314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12998
- Practice address
- 4801 Troup Hwy
Suite 301
Tyler, TX 75703-2356 - Phone
- (903) 581-6300
- Fax
- (903) 581-0235
- NPI assigned
- Nov 2, 2005
- 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 | 12998 | TX | Primary |
Addresses
Primary practice location
4801 Troup Hwy
Suite 301
Tyler, TX 75703-2356
Mailing address
4801 Troup Hwy
Suite 301
Tyler, TX 75703-2356
Phone (903) 581-6300
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1679564314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 TROUP HWY",
"address_2": "SUITE 301",
"city": "TYLER",
"state": "TX",
"postal_code": "757032356",
"telephone_number": "903-581-6300",
"fax_number": "903-581-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 TROUP HWY",
"address_2": "SUITE 301",
"city": "TYLER",
"state": "TX",
"postal_code": "757032356",
"telephone_number": "903-581-6300",
"fax_number": "903-581-0235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "VIVIAN",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.