Individual provider Active NPI

Kristen Lucelia Flannigan, APCC

  • Professional Counselor
  • Tehachapi, CA
National Provider Identifier
1720405095
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7667 Issued in CA
Practice address
21901 Horizon CT
Tehachapi, CA 93561-9619
Phone
(479) 461-2037
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7667 CA
Professional Counselor 101YP2500X 7667 CA Primary

Addresses

Primary practice location

21901 Horizon CT
Tehachapi, CA 93561-9619

Mailing address

PO Box 23070
Barling, AR 72923-0070

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

State licenses

LicenseStateTypeSpecialty
7667CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Behavioral Health Management, LLC Case Manager/Care Coordinator PastSince Feb 1, 2012 Accepting new patients
Perspectives Behavioral Health Management, LLC Mental Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1720405095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23070",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729230070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21901 HORIZON CT",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935619619",
            "telephone_number": "479-461-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNIGAN",
        "first_name": "KRISTEN",
        "middle_name": "LUCELIA",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "7667",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "7667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.