Individual provider Active NPI

Kristen Elizabeth Tittle, MA, LPC

  • Professional Counselor
  • Rockwall, TX
National Provider Identifier
1710558085
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16436 Issued in TX
Practice address
935 W Ralph Hall Pkwy Ste 105
Rockwall, TX 75032-8707
Phone
(972) 772-8484
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16436 TX Primary

Addresses

Primary practice location

935 W Ralph Hall Pkwy Ste 105
Rockwall, TX 75032-8707

Mailing address

1522 Schooner Bay Dr
Wylie, TX 75098-7844
Phone (214) 537-7898

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

State licenses

LicenseStateTypeSpecialty
16436TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Ludden Group, P.C. CurrentSince Jul 17, 2021 Accepting new patients
Lattie Psychological Associates PLLC PastSince Jul 17, 2021 Accepting new patients

Locations

935 W Ralph Hall Pkwy
Ste 105
Rockwall, TX 75032
Phone (972) 742-7679

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1710558085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 SCHOONER BAY DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987844",
            "telephone_number": "214-537-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 W RALPH HALL PKWY STE 105",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750328707",
            "telephone_number": "972-772-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITTLE",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.