Individual provider Active NPI

Hannah Kalk

  • Marriage & Family Therapist
  • Round Rock, TX
National Provider Identifier
1730986266
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204485 Issued in TX
Practice address
3000 Joe Dimaggio Blvd Ste 30
Round Rock, TX 78665-3994
Phone
(512) 492-6200
Fax
(512) 492-6201
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204485 TX Primary

Addresses

Primary practice location

3000 Joe Dimaggio Blvd Ste 30
Round Rock, TX 78665-3994

Mailing address

11615 Angus Rd Ste 218
Austin, TX 78759-4066
Phone (512) 492-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 13, 2024 through Jun 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
204485TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Relational Care PastSince Mar 11, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1730986266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 218",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594066",
            "telephone_number": "512-492-6200",
            "fax_number": "512-492-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOE DIMAGGIO BLVD STE 30",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653994",
            "telephone_number": "512-492-6200",
            "fax_number": "512-492-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALK",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.