Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kimberly A Staten, LPC-ASSOCIATE

Individual provider Mental Health Counselor · NPI 1356254148

Kimberly A Staten, LPC-ASSOCIATE is a Mental Health Counselor in Fort Worth, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

3210 Miller Ave
Fort Worth, TX 76119-1948
Phone: (817) 531-5605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 E Debbie Ln, Mansfield, TX 76063-2924 — (817) 914-3251

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 96971 (TX)

Record details

NPI number1356254148
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-ASSOCIATE
Sole proprietorNo
NPI enumeratedSeptember 23, 2026
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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