Active NPI
Kathryn A Lynn, LSCW
- Mental Health Counselor
- Mesquite, TX
National Provider Identifier
1821177809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S05940
- Practice address
- 18601 Lyndon B Johnson Fwy
Suite 701
Mesquite, TX 75150-5600 - Phone
- (972) 270-7565
- Fax
- (972) 270-7776
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S05940 | TX | Primary |
Addresses
Primary practice location
18601 Lyndon B Johnson Fwy
Suite 701
Mesquite, TX 75150-5600
Mailing address
18601 Lyndon B Johnson Fwy
Suite 701
Mesquite, TX 75150-5600
Phone (972) 270-7565
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 |
|---|---|---|---|
| S05940 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821177809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18601 LYNDON B JOHNSON FWY",
"address_2": "SUITE 701",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505600",
"telephone_number": "972-270-7565",
"fax_number": "972-270-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18601 LYNDON B JOHNSON FWY",
"address_2": "SUITE 701",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505600",
"telephone_number": "972-270-7565",
"fax_number": "972-270-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "KATHRYN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LSCW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "S05940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.