Individual provider Active NPI

Katherine Nix, MA LPC

  • Counselor
  • Dallas, TX
National Provider Identifier
1982181814
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
70540 Issued in TX
Practice address
2602 McKinney Ave Ste 105
Dallas, TX 75204-0710
Phone
(214) 444-3649
Fax
(214) 444-3649
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 70540 TX Primary

Addresses

Primary practice location

2602 McKinney Ave Ste 105
Dallas, TX 75204-0710

Mailing address

2221 Creekside Cir N
Irving, TX 75063-3346

Other practice location 1

2115 Teakwood Ln Ste 100
Plano, TX 75075-4407
Phone (214) 444-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 30, 2024 through Jan 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
70540TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Space Therapy Counselor CurrentSince Mar 27, 2022 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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1982181814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 CREEKSIDE CIR N",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 MCKINNEY AVE STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040710",
            "telephone_number": "214-444-3649",
            "fax_number": "214-444-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Teakwood Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750754407",
            "country_code": "US",
            "telephone_number": "214-444-3649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIX",
        "first_name": "KATHERINE",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "70540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.