Active NPI
Tamika Nicole McKindra, M.S., LPC
- Professional Counselor
- Duncanville, TX
National Provider Identifier
1841640893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72002
- Practice address
- 1106 Santa Fe TRL
Ste 9
Duncanville, TX 75137-3063 - Phone
- (469) 260-4122
- NPI assigned
- Jun 20, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 72002 | TX | Primary |
| Counselor | 101Y00000X | 72002 | TX | |
| Mental Health Counselor | 101YM0800X | 72002 | TX |
Addresses
Primary practice location
1106 Santa Fe TRL
Ste 9
Duncanville, TX 75137-3063
Mailing address
6114 Cobalt St
Houston, TX 77016-1303
Phone (469) 260-4122
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72002 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1841640893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6114 COBALT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770161303",
"telephone_number": "469-260-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 SANTA FE TRL",
"address_2": "STE 9",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751373063",
"telephone_number": "469-260-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINDRA",
"first_name": "TAMIKA",
"middle_name": "NICOLE",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72002",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "72002",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "72002",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.