Olivia Daylyn Tate Frazier, LPC

Individual provider Active NPI Professional Counselor · Kingsville, TX

NPI 1902755374 · NPPES record last updated Mar 3, 2026

Key facts

NPI
1902755374
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
92011 (TX)
Practice address
2101 E Trant Rd Apt 1101
Kingsville, TX 78363-9644
Phone
(915) 234-7953
NPI assigned
Jan 27, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
92011TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X 92011 TX Yes

Addresses

Primary practice location

2101 E Trant Rd Apt 1101
Kingsville, TX 78363-9644

Mailing address

2101 E Trant Rd Apt 1101
Kingsville, TX 78363-9644
Phone (915) 234-7953

Other names

  • Olivia Daylyn Tate Former name

Other providers in Kingsville, TX

All providers in Kingsville, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.