Provider Demographics
NPI:1881784965
Name:BARTO, KRISTIN ELIZABETH (LPC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:ELIZABETH
Last Name:BARTO
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 VIKING OAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3306
Mailing Address - Country:US
Mailing Address - Phone:210-325-6921
Mailing Address - Fax:210-403-9320
Practice Address - Street 1:802 AUGUSTA ST
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1643
Practice Address - Country:US
Practice Address - Phone:210-226-6360
Practice Address - Fax:210-403-9320
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17206101Y00000X
TX5008106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1565640-01Medicaid