Individual provider Active NPI

Mykia Hollis-Griffith, MA

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1871174250
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82573 Issued in TX
Practice address
2316 Stagecoach Rd
Killeen, TX 76542-5701
Phone
(254) 290-8577
NPI assigned
Apr 18, 2021
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 82573 TX Primary

Addresses

Primary practice location

2316 Stagecoach Rd
Killeen, TX 76542-5701

Mailing address

2316 Stagecoach Rd
Killeen, TX 76542-5701
Phone (254) 290-8577

Other practice location 1

400 W Jasper Dr Ste 202
Killeen, TX 76542-1318
Phone (254) 290-8577

Other practice location 2

2913 Williams Dr Ste 220
Georgetown, TX 78628-2739
Phone (254) 251-8750

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 Arts

State licenses

LicenseStateTypeSpecialty
82573TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Life Company LTD LLP Professional PastSince Aug 1, 2022 Accepting new patients

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": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1871174250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 STAGECOACH RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425701",
            "telephone_number": "254-290-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 STAGECOACH RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425701",
            "telephone_number": "254-290-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Jasper Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765421318",
            "country_code": "US",
            "telephone_number": "254-290-8577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2913 Williams Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786282739",
            "country_code": "US",
            "telephone_number": "254-251-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS-GRIFFITH",
        "first_name": "MYKIA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.