Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KIMBERLY A STATEN LPC-ASSOCIATE
NPI 1356254148
Counselor - Mental Health in Fort Worth, TX

Q: What is Kimberly Staten's NPI number?

The NPI number for Kimberly Staten is 1356254148. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Q: What is Kimberly Staten's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Staten was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2026

3210 MILLER AVE, FORT WORTH, TX 76119(817) 531-5605 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Kimberly A Staten Lpc-associate NPPES

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

KIMBERLY A STATEN LPC-ASSOCIATE (NPI 1356254148) is an individual mental health provider in Fort Worth, Texas, licensed in Texas (96971) and active in the NPI registry since September 2026. She maintains a secondary practice location in Mansfield.

NPPES Registry Identity

NPI1356254148

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKIMBERLY A STATENCredential: LPC-ASSOCIATE

Location Address3210 MILLER AVEFort Worth, TX 76119-1948

Mailing AddressPo Box 462Mansfield, TX 76063-0079 · (214) 966-4834

Phone(817) 531-5605

Sole ProprietorNo

Enumeration DateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1356254148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TX · 96971

3210 MILLER AVE, Fort Worth, TX 76119

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Secondary Practice Location 1

Location 1201 E Debbie LnMansfield, TX 76063-2924 · Phone (817) 914-3251

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 Kimberly Staten's NPI number?

The NPI number for Kimberly Staten is 1356254148. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Kimberly Staten located?

Kimberly Staten practices at 3210 Miller Ave, Fort Worth, TX 76119. The listed phone number is (817) 531-5605.

What is Kimberly Staten's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kimberly Staten was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.