Active NPI
Kristen Elizabeth Persilver
- Professional Counselor
- Ennis, TX
National Provider Identifier
1902663016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 88927
- Practice address
- 107 S Dallas St
Ennis, TX 75119-4786 - Phone
- (430) 236-2552
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 88927 | TX | Primary |
Addresses
Primary practice location
107 S Dallas St
Ennis, TX 75119-4786
Mailing address
519 Waterboard Dr
Trinidad, TX 75163-9606
Phone (430) 236-2552
Other names 1
- Kristen Campbell
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88927 | TX | MD | Professional Counselor |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- San Antonio, TX
- NPI 1811288731
-
- Psychologist
- Corsicana, TX
- NPI 1366628331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1902663016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 WATERBOARD DR",
"city": "TRINIDAD",
"state": "TX",
"postal_code": "751639606",
"telephone_number": "430-236-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S DALLAS ST",
"city": "ENNIS",
"state": "TX",
"postal_code": "751194786",
"telephone_number": "430-236-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSILVER",
"first_name": "KRISTEN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "88927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "CAMPBELL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.