Active NPI
Kathleen Prial, LPC, LCDC, LMFT-A
- Professional Counselor
- Plano, TX
National Provider Identifier
1932646403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73080
- Practice address
- 5601 Democracy Dr Ste 135
Plano, TX 75024-3672 - Phone
- (214) 478-0314
- NPI assigned
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12613 | TX | |
| Professional Counselor | 101YP2500X | 73080 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 202331 | TX |
Addresses
Primary practice location
5601 Democracy Dr Ste 135
Plano, TX 75024-3672
Mailing address
4945 Morris Ave Apt 4350
Addison, TX 75001-6672
Phone (516) 456-1032
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73080 | TX | MD | Professional Counselor |
| 202331 | TX | MD | Marriage & Family Therapist |
| 12613 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolve2Evolve LLC | Professional | Past | Accepting new patients |
| Traci Koen, LPC-S, PLLC | Past | Accepting new patients |
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
- Addison, TX
- NPI 1972481422
-
- Mental Health Counselor
- Plano, TX
- NPI 1194261701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1932646403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4945 MORRIS AVE APT 4350",
"city": "ADDISON",
"state": "TX",
"postal_code": "750016672",
"telephone_number": "516-456-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DEMOCRACY DR STE 135",
"city": "PLANO",
"state": "TX",
"postal_code": "750243672",
"telephone_number": "214-478-0314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIAL",
"first_name": "KATHLEEN",
"credential": "LPC, LCDC, LMFT-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12613",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73080",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "202331",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.