Katrina D'Ann Klaehn, MA, LPC, LSOTP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

74076 Issued in TX

Practice address

4231 Ridgecrest Cir Ste B
Amarillo, TX 79109-5498

Phone

(806) 803-5013

Fax

(806) 553-1312

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Tide Falls Professional Counseling, LLC

  • Professional Counselor
  • Amarillo, TX
  • NPI 1851897995
  Medicare reassignment NPD Authorized official
• Matthew M Davis PLLC

  • Professional Counselor
  • Amarillo, TX
  • NPI 1013639699
  NPD

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1982151346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 RIDGECREST CIR STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095498",
            "telephone_number": "806-803-5013",
            "fax_number": "806-553-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 RIDGECREST CIR STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095498",
            "telephone_number": "806-803-5013",
            "fax_number": "806-553-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAEHN",
        "first_name": "KATRINA",
        "middle_name": "D'ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025488-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilan Kiselstein, DDS
• Lawrence Edward Kitchens III
• Donna Raef Kizziar, APRN, FNP-C
• Mason Kizziar, APRN-FNP, RNFA, CST
• KJB Anesthesia, PLLC
• Klash Medical Billing Services
• Cara Rebecca Klaus
• John Wilfert Klein, M.D.
• Jon Sebastian Klein, MA, LPC-S, LSOTP
• Kleinpeter & Associates

• Professional Counselor in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.