Individual provider Active NPI

Kari Leavell, PH.D.

  • Counseling Psychologist
  • Grapevine, TX
National Provider Identifier
1750760641
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
36818 Issued in TX
Practice address
1135 S Main St
Grapevine, TX 76051-7533
Phone
(817) 329-5041
Fax
(844) 729-1745
NPI assigned
May 25, 2015
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 36818 TX Primary

Addresses

Primary practice location

1135 S Main St
Grapevine, TX 76051-7533

Mailing address

1135 S Main St
Grapevine, TX 76051-7533
Phone (817) 329-5041

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 844-729-1745 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929001504 TX Practitioner - Clinical Psychologist 4880013622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kari Leavell, PH.D. PLLCGroup PAC ID 3971922717, 4 clinicians

Practice addresses (Care Compare)

1135 S Main St
Grapevine Psychology
Grapevine, TX 76051-7533
Phone (817) 329-5041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36818TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Leavell, PHD, PLLC CurrentSince Jun 26, 2020 Accepting new patients

Locations

1135 S Main St
Grapevine, TX 76051
Phone (817) 329-5041

305 Miron Dr
Southlake, TX 76092
Phone (682) 554-2946

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": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1750760641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517533",
            "telephone_number": "817-329-5041",
            "fax_number": "844-729-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S MAIN ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517533",
            "telephone_number": "817-329-5041",
            "fax_number": "844-729-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVELL",
        "first_name": "KARI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "844-729-1745",
            "affiliation": "N",
            "endpointDescription": "HIPAA Secure E-Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "1135 S Main St",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760517533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.