Krista Costanza Bopp, LPC-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16907 Issued in TX

Practice address

18670 Forty Six Pkwy Unit 1
Spring Branch, TX 78070-6888

Phone

(830) 709-8010

Fax

(866) 796-0489

NPI assigned

Jul 26, 2023

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krista.bopp.p6@direct.chdi.nextgenshare.com

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.

• Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Mason, TX
  • NPI 1235381088
  Medicare reassignment NPD
• Alaniz Counseling and Behavioral Center, P.C.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1811288731
  Medicare reassignment
• Frontera Healthcare Network

  dba Frontera Fredericksburg Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, TX
  • NPI 1730976770
  NPD

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1811678592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18670 FORTY SIX PKWY UNIT 1",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706888",
            "telephone_number": "830-709-8010",
            "fax_number": "866-796-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18670 FORTY SIX PKWY UNIT 1",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706888",
            "telephone_number": "830-709-8010",
            "fax_number": "866-796-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPP",
        "first_name": "KRISTA",
        "middle_name": "COSTANZA",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "92172",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bluebonnet Health Center LLC (Diabetic and Neuropathy Centers of Texas)
• Zachary Bohmfalk
• Natalia Sofia Borges
• Branch Out Behavioral
• Emily Browne
• Bulverde Dentistry, PC (Bulverde Dentistry)
• Bulverde Emergency Physicians, PLLC

• Professional Counselor in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.