Individual provider Active NPI

Kaylee Elizabeth Criswell, LPC

  • Mental Health Counselor
  • North Richland Hills, TX
National Provider Identifier
1730735226
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80078 Issued in TX
Practice address
6344 Davis Blvd Ste 300a
North Richland Hills, TX 76180-4762
Phone
(817) 701-0663
NPI assigned
Aug 12, 2019
Reactivated
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80078 TX Primary

Addresses

Primary practice location

6344 Davis Blvd Ste 300a
North Richland Hills, TX 76180-4762

Mailing address

6344 Davis Blvd Ste 300a
North Richland Hills, TX 76180-4762
Phone (817) 701-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2024 through Jan 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80078TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luxx Therapy, PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

8205 Mid Cities Blvd
Ste 300
North Richland Hills, TX 76182
Phone (817) 701-0663

6344 Davis Blvd
Ste 300A
North Richland Hills, TX 76180
Phone (817) 701-0663

Organizations & group practices 1

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1730735226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 DAVIS BLVD STE 300A",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804762",
            "telephone_number": "817-701-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 DAVIS BLVD STE 300A",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804762",
            "telephone_number": "817-701-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISWELL",
        "first_name": "KAYLEE",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "deactivation_date": "2023-02-01",
        "reactivation_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.