Provider Demographics
NPI:1215087135
Name:KINDER, KATHLEEN NEWMAN (LMFT,LPC)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:NEWMAN
Last Name:KINDER
Suffix:
Gender:F
Credentials:LMFT,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 FARNE CASTLE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2081
Mailing Address - Country:US
Mailing Address - Phone:210-887-6089
Mailing Address - Fax:210-253-9046
Practice Address - Street 1:610 ROCKHILL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3149
Practice Address - Country:US
Practice Address - Phone:210-887-6089
Practice Address - Fax:210-253-9046
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14537101YM0800X
TX4720106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0958571-02Medicaid