Healthcare Provider Details

I. General information

NPI: 1609739945
Provider Name (Legal Business Name): KRISTINE MARIE FRANKLIN LCPC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 N KINGMAN ST
HAVILAND KS
67059-9558
US

IV. Provider business mailing address

410 W GARFIELD AVE
GREENSBURG KS
67054-1918
US

V. Phone/Fax

Practice location:
  • Phone: 620-349-4039
  • Fax: 620-647-4651
Mailing address:
  • Phone: 620-349-4039
  • Fax: 620-647-4651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1309-7-15-23-648
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number04139
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: