Active NPI
Kathryn Renee Frazier, LPC-S, NCC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1982985081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61241
- Practice address
- 4203 Woodcock Dr Ste 216
San Antonio, TX 78228-1312 - Phone
- (210) 564-9116
- Fax
- (210) 564-9087
- NPI assigned
- Sep 1, 2011
- Last updated
- Apr 23, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61241 | TX | Primary |
Addresses
Primary practice location
4203 Woodcock Dr Ste 216
San Antonio, TX 78228-1312
Mailing address
6024 Cammie Way
Leon Valley, TX 78238-1602
Phone (940) 642-9195
Other names 1
- Ms. Kathryn Renee Windal
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 |
|---|---|---|---|
| 61241 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind Sight LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1982985081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6024 CAMMIE WAY",
"city": "LEON VALLEY",
"state": "TX",
"postal_code": "782381602",
"telephone_number": "940-642-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 WOODCOCK DR STE 216",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281312",
"telephone_number": "210-564-9116",
"fax_number": "210-564-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "KATHRYN",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "LPC-S, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "WINDAL",
"middle_name": "RENEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.