MS. KATHLEEN M PETRAK LPC
NPI 1316053853
Counselor - Professional in Conroe, TX

Q: What is Kathleen Petrak's NPI number?

The NPI number for Kathleen Petrak is 1316053853. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Kathleen Petrak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Petrak was last updated on July 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2006PECOS Enrolled

704 LONGMIRE RD, SUITE 101, CONROE, TX 77304(936) 441-2500(936) 539-2515 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Ms. Kathleen M Petrak Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN M PETRAK LPC (NPI 1316053853) is an individual professional provider in Conroe, Texas, licensed in Texas (15429) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316053853

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. KATHLEEN M PETRAKCredential: LPC

Location Address704 LONGMIRE RD, SUITE 101Conroe, TX 77304-1850

Mailing Address36 April Point Dr NMontgomery, TX 77356-5816 · (936) 588-6823

Phone(936) 441-2500

Fax(936) 539-2515

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateJuly 17, 2007

✔ NPI 1316053853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 15429

704 LONGMIRE RD, Conroe, TX 77304

Open in Google Maps ↗

Other Identifiers 1

Other84053LTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen M Petrak Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA ELAINE CARR MS

Speech-Language Pathologist

704 LONGMIRE RD, SUITE 101
CONROE, TX 77304

Montgomery County (936) 441-2500

JOAN ANN ZITZMANN COTA

Occupational Therapy Assistant

704 LONGMIRE RD, SUITE 101
CONROE, TX 77304

Montgomery County (936) 441-2500

JENNIFER RENEE FOWLER PT

Physical Therapist

704 LONGMIRE RD, SUITE 101
CONROE, TX 77304

Montgomery County (936) 441-2500

SELOUS HEALTHCARE LLC

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))

704 LONGMIRE RD, SUITE 101
CONROE, TX 77304

Montgomery County (936) 441-2500

JESSICA ANN RAINWATER M.S., CF-SLP

Speech-Language Pathologist

704 LONGMIRE RD, #101
CONROE, TX 77304

Montgomery County (936) 441-1525

KENDRA ALEXANDER

Speech-Language Pathologist

704 LONGMIRE RD, #101
CONROE, TX 77304

Montgomery County (936) 441-1525

JENNIFER HAMMOND

Speech-Language Pathologist

704 LONGMIRE RD
CONROE, TX 77304

Montgomery County (936) 441-1525

SYNERGY MEDIATION AND COUNSELING

Clinic/Center (Mental Health (Including Community Mental Health Center))

704 LONGMIRE RD
CONROE, TX 77304

Montgomery County (318) 884-4205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Petrak's NPI number?

The NPI number for Kathleen Petrak is 1316053853. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Kathleen Petrak located?

Kathleen Petrak practices at 704 Longmire Rd Suite 101, Conroe, TX 77304. The listed phone number is (936) 441-2500.

What is Kathleen Petrak's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathleen Petrak enrolled in Medicare?

Yes. Kathleen Petrak is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Petrak accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Kathleen Petrak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Petrak was last updated on July 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.