Individual provider Active NPI

Kristy M Donaldson, LPC

  • Mental Health Counselor
  • Waco, TX
National Provider Identifier
1871867176
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
510 N Valley Mills Dr Ste 304
Waco, TX 76710-6076
Phone
(254) 262-3506
Fax
(254) 298-9431
NPI assigned
Mar 4, 2012
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Mental Health Counselor 101YM0800X 63523 TX
Professional Counselor 101YP2500X 63523 TX

Addresses

Primary practice location

510 N Valley Mills Dr Ste 304
Waco, TX 76710-6076

Mailing address

510 N Valley Mills Dr Ste 304
Waco, TX 76710-6076
Phone (254) 262-3506

Other identifiers 2

IdentifierTypeStateIssuer
289672201MedicaidTX
289672205MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240124003348 TX Practitioner - Mental Health Counselor 9739532995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Neurofeedback and Counseling Services, PLLCGroup PAC ID 1658724810, 3 clinicians

Practice addresses (Care Compare)

510 N Valley Mills Dr
Suite 304
Waco, TX 76710-6076
Phone (254) 262-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63523TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristy M Donaldson Mental Health CurrentSince Jan 17, 2024 Accepting new patients
Premier Neurofeedback & Counseling Services, PLLC Mental Health CurrentSince May 2, 2018 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Locations

3500 Hillcrest Dr
Ste 8
Waco, TX 76708
Phone (254) 262-3506

4900 Sanger Ave
Waco, TX 76710
Phone (254) 644-2423

510 N Valley Mills Dr
Ste 304
Waco, TX 76710
Phone (254) 262-3506

Interoperability endpoints

  • Direct secure messaging: kristydonaldson@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1871867176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N VALLEY MILLS DR STE 304",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106076",
            "telephone_number": "254-262-3506",
            "fax_number": "245-298-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N VALLEY MILLS DR STE 304",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106076",
            "telephone_number": "254-262-3506",
            "fax_number": "254-298-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "KRISTY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-04",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63523",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289672201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289672205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.