Provider Demographics
NPI:1255035994
Name:NONGARD, RICHARD KINZIE (LMFT)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:KINZIE
Last Name:NONGARD
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 PIN OAK RD # 131-225
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5659
Mailing Address - Country:US
Mailing Address - Phone:702-488-9640
Mailing Address - Fax:
Practice Address - Street 1:24819 VIEWRIDGE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1832
Practice Address - Country:US
Practice Address - Phone:702-488-9640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist