P Praxis·MD
● Active Type 1 · Individual

Kelly Marie Runk, LCDC

Counselor·Longview, TX· NPI 1215504584 · Enumerated 2021 · 4 years on NPI
Runk is 1 of 47 counselor providers in Longview and 1 of 2629 in Texas.
NPI age
4 years
Enumerated 2021-06-07
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2629 active counselor providers in Texas.

NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Practice location
950 N 4th St
Longview, TX 756015436
📞 9037582471fax 9032341639
Mailing address
107 Woodbine Pl
Longview, TX 756012912
📞 9037582471fax 9032341639

Specialties

  • Counselor Primary
    Definition to come...
    TX license #14164 taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new counselor providers have been added in Longview in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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