Provider Demographics
NPI:1326237215
Name:THOMSON, KRISTIN PAIGE (MA, LPC-S)
Entity Type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:PAIGE
Last Name:THOMSON
Suffix:
Gender:F
Credentials:MA, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 S FRIENDSWOOD DR STE 430
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2249
Mailing Address - Country:US
Mailing Address - Phone:832-569-2450
Mailing Address - Fax:
Practice Address - Street 1:1560 W BAY AREA BLVD STE 305
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2674
Practice Address - Country:US
Practice Address - Phone:281-218-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194068602Medicaid