Individual provider Active NPI

Krystal Lane Speier, LCPC

  • Mental Health Counselor
  • Shawnee, KS
National Provider Identifier
1891071684
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2380 Issued in KS
Practice address
4415 Anderson St
Shawnee, KS 66226-2465
Phone
(913) 397-6666
Fax
(913) 397-0066
NPI assigned
Oct 25, 2011
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 90845 TX
Mental Health Counselor 101YM0800X 2380 KS Primary
Mental Health Counselor 101YM0800X 222997 AK

Addresses

Primary practice location

4415 Anderson St
Shawnee, KS 66226-2465

Mailing address

4415 Anderson St
Shawnee, KS 66226-2465
Phone (785) 639-0543

Other names 1

  • Miss Krystal Lane Holmes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, TX, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240415001770 KS Practitioner - Mental Health Counselor 0345689063 Reassigns benefits to 2 organizations
I20240424003834 TX Practitioner - Mental Health Counselor 0345689063 Reassigns benefits to 2 organizations
I20241213001973 AK Practitioner - Mental Health Counselor 0345689063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Freedom Behavioral Health Alaska LLCGroup PAC ID 4880033513, 6 clinicians
Freedom Behavioral Health Solutions LLCGroup PAC ID 3577909431, 13 clinicians
Freedom Behavioral Health - Killeen PLLCGroup PAC ID 3173050440, 9 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Suite 254
Eagle River, AK 99577-8080
Phone (907) 696-0221

1133 College Ave
Suite E110
Manhattan, KS 66502-2813
Phone (785) 775-0221

809 S W S Young Dr
Killeen, TX 76543-4801
Phone (254) 226-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90845TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Behavioral Health Alaska LLC CurrentSince Dec 11, 2024 Accepting new patients
Freedom Behavioral Health Solutions, LLC CurrentSince Apr 9, 2024 Accepting new patients
Freedom Behavioral Health Texas PLLC CurrentSince Apr 9, 2024 Accepting new patients
Freedom Behavioral Health - Killeen PLLC CurrentSince Sep 17, 2024 Accepting new patients
Family Endeavors, Inc PastSince Apr 9, 2024 Accepting new patients
Karen Penrod Ma LCPC LLC PastSince Jul 1, 2022 Accepting new patients

Locations

10928 Eagle River Rd
Ste 254
Eagle River, AK 99577
Phone (907) 696-0221

3540 International St
Fairbanks, AK 99701
Phone (907) 328-0581

1133 College Ave
Ste A213
Manhattan, KS 66502
Phone (785) 587-1825

1133 College Ave
Ste E110
Manhattan, KS 66502
Phone (785) 537-2651

6601 Montana Ave
Ste J
El Paso, TX 79925
Phone (915) 234-6227

809 S W S Young Dr
Killeen, TX 76543
Phone (254) 226-3090

8207 Callaghan Rd
Ste 200
San Antonio, TX 78230
Phone (210) 646-1570

Organizations & group practices 7

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1891071684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 ANDERSON ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662262465",
            "telephone_number": "785-639-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 ANDERSON ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662262465",
            "telephone_number": "913-397-6666",
            "fax_number": "913-397-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIER",
        "first_name": "KRYSTAL",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90845",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2380",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "222997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "HOLMES",
            "middle_name": "LANE",
            "prefix": "MISS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.