Kristyn Rouse Etheredge, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3323 Issued in AL

Practice address

100 Westside Dr.
Dothan, AL 36303

Phone

(334) 793-2237

Fax

(334) 712-6256

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Krisyn Rouse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Milestones Psychology and Therapy Inc

  • Professional Counselor
  • Dothan, AL
  • NPI 1730431164
  NPD
• Chrysalis, a Home for Girls, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Newton, AL
  • NPI 1891808036
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1962755660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTSIDE DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031908",
            "telephone_number": "334-793-2237",
            "fax_number": "334-712-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTSIDE DR.",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-793-2237",
            "fax_number": "334-712-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHEREDGE",
        "first_name": "KRISTYN",
        "middle_name": "ROUSE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3323",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C2041A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISYN",
            "last_name": "ROUSE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonya Ernsberger, CRNP
• Robert Craig Espy, CRNP
• Brittany Morgan Estell, MD
• Mason Estes
• Kara Etheredge, MA, BCBA
• Leslie Ann Ethridge, CRNP, FNP
• James Anthony Eubanks Jr., MSPT, OCS
• Clinton Wilkinson Evans, M.D., D.M.D.
• David H Evans, MD
• John Evans Jr., NURSE PRACTITIONER

• Mental Health Counselor in Dothan, AL
• Providers in Dothan, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.