Active NPI
Kristina Heitzman, LMFT
- Marriage & Family Therapist
- Denton, TX
National Provider Identifier
1770975419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204615
- Practice address
- 101 S Locust St Ste 602
Denton, TX 76201-6159 - Phone
- (972) 348-0194
- NPI assigned
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI0622 | NV | |
| Marriage & Family Therapist | 106H00000X | 204615 | TX | Primary |
Addresses
Primary practice location
101 S Locust St Ste 602
Denton, TX 76201-6159
Mailing address
1604 Marble Cove LN
Denton, TX 76210-5820
Phone (702) 349-4822
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
| License | State | Type | Specialty |
|---|---|---|---|
| MI0622 | NV | MD | Marriage & Family Therapist |
| 204615 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1770975419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 MARBLE COVE LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762105820",
"telephone_number": "702-349-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S LOCUST ST STE 602",
"city": "DENTON",
"state": "TX",
"postal_code": "762016159",
"telephone_number": "972-348-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITZMAN",
"first_name": "KRISTINA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI0622",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.