Active NPI
Kristal Bounds, LCDC
- Addiction (Substance Use Disorder) Counselor
- Longview, TX
National Provider Identifier
1962853291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10494
- Practice address
- 950 N 4TH St
Longview, TX 75601-5436 - Phone
- (903) 758-2471
- NPI assigned
- Jun 28, 2016
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10494 | TX | Primary |
Addresses
Primary practice location
950 N 4TH St
Longview, TX 75601-5436
Mailing address
950 N 4TH St
Longview, TX 75601-5436
Phone (903) 753-9843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10494 | Other | TX | LCDC |
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 |
|---|---|---|---|
| 10494 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1962853291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015436",
"telephone_number": "903-753-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015436",
"telephone_number": "903-758-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUNDS",
"first_name": "KRISTAL",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCDC",
"identifier": "10494",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.