Kristin Timberlake Rodriguez, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18814 Issued in TX

Practice address

700 Rockmead Dr Ste 246
Kingwood, TX 77339-2106

Phone

(832) 995-8166

NPI assigned

Nov 12, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Tiffany Timberlake Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1710643853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 WILLOW RIDGE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392658",
            "telephone_number": "832-995-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ROCKMEAD DR STE 246",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392106",
            "telephone_number": "832-995-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KRISTIN",
        "middle_name": "TIMBERLAKE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "TIMBERLAKE",
            "middle_name": "TIFFANY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Ann Robinson, PH.D.
• Robin L Robinson, MA
• Willie Earl Robinson III, M.D.
• Deshawn Rodgers, PHARMACY TECHNICIAN
• Eva Rodriguez, APRN-CNP
• Stephanie Lynn Rodriguez
• Zacharie A Rodriguez
• Vanessa Roe, RN
• Bobbie Harris Rogers, FNP-C
• Cheryl L Rogers, L.M.F.T, L.P.C.

• Professional Counselor in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.