Individual provider Active NPI

Kelsie Leigh McGuire, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1003425083
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0016129 Issued in CO
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240423003898 CO Practitioner - Mental Health Counselor 2264871219 Reassigns benefits to 1 organization
I20240424001234 TX Practitioner - Mental Health Counselor 2264871219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016129COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Mar 14, 2024 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

Verify at the official NPI Registry.