Active NPI
Kelsie Leigh McGuire, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1003425083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0016129
- Practice address
- 1842 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1559 - Phone
- (940) 447-6071
- NPI assigned
- Jul 27, 2020
- Last updated
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0016129 | CO | Primary |
Addresses
Primary practice location
1842 Lockhill Selma Rd Ste 102
San Antonio, TX 78213-1559
Mailing address
12041 Bell Rd
Pilot Point, TX 76258-6932
Phone (940) 447-6071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0016129 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
Locations
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
Networks
- TX HMO D-SNP
- CO HMO
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO D-SNP
- TX HMO
- NM HMO C-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1003425083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12041 BELL RD",
"city": "PILOT POINT",
"state": "TX",
"postal_code": "762586932",
"telephone_number": "940-447-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 LOCKHILL SELMA RD STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131559",
"telephone_number": "940-447-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "KELSIE",
"middle_name": "LEIGH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-27",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0016129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.