Individual provider Active NPI

Katharine Ottone, PHD, LPC

  • Counselor
  • Southlake, TX
National Provider Identifier
1922476597
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
70470 Issued in TX
Practice address
2141 Kirkwood Blvd
Southlake, TX 76092-1462
Phone
(817) 266-8676
NPI assigned
Sep 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 70470 TX Primary

Addresses

Primary practice location

2141 Kirkwood Blvd
Southlake, TX 76092-1462

Mailing address

1933 Berkeley PL
Fort Worth, TX 76110-1209
Phone (817) 266-8676

Other names 1

  • Dr. Katharine Davis Professional name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
70470TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Child and Family Therapy CurrentSince Jan 8, 2023 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1922476597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 BERKELEY PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101209",
            "telephone_number": "817-266-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 KIRKWOOD BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921462",
            "telephone_number": "817-266-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTONE",
        "first_name": "KATHARINE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "70470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "DAVIS",
            "prefix": "DR.",
            "credential": "PHD, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.