Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063516524 Individual Practitioner Female Practitioner

Connie Brannon Kitchen , LPC

Counselor - Professional • Longview, TX

Professional Overview & Biography Verified Profile Summary

Connie Kitchen, LPC is a registered healthcare professional specializing in Counselor - Professional in Longview, TX. Practice services are available at 409 N FREDONIA ST STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

409 N Fredonia St Ste 105

Longview, TX 756016466

Telephone 9032354779
Fax 9037530197

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
142 Specialists

Practicing in Longview, TX (21203 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 15612

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
4147LC (TX)
Commercial Insurance / Payer ID Bcbs
6307LC (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Philip Armour , LPC, LMFT

Marriage & Family Therapist

NPI 1699868018

Licensed Professional Counselor, Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 409 N FREDONIA ST STE 105, LONGVIEW, TX 756016466 (Tel: 9032354779)

📍
Updated Business Mailing Address July 09, 2007

Registered at 230 PINE CIR, HALLSVILLE, TX 756504555 (Tel: 9032354779)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CONNIE KITCHEN, L.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #15612 in TX)

🟢
Initial NPI Registration & Enumeration September 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063516524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

230 Pine Cir

Hallsville, TX 756504555

Phone: 9032354779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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