Active NPI
Keyna Lee, LCDC , M.S.
- Addiction (Substance Use Disorder) Counselor
- Kaufman, TX
National Provider Identifier
1013302009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10613
- Practice address
- 400 Terrell Hwy
Kaufman, TX 75142-1750 - Phone
- (830) 928-9666
- NPI assigned
- Apr 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10613 | TX | Primary |
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
400 Terrell Hwy
Kaufman, TX 75142-1750
Mailing address
400 Terrell Hwy
Kaufman, TX 75142-1750
Phone (830) 928-9666
Other practice location 1
3031 W Ih 10
San Antonio, TX 78201-5159
Phone (210) 261-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10613 | Other | TX | TEXAS LICENSE LCDC |
Other names 1
- Keyna Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10613 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1013302009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 TERRELL HWY",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421750",
"telephone_number": "830-928-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TERRELL HWY",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421750",
"telephone_number": "830-928-9666"
}
],
"practiceLocations": [
{
"address_1": "3031 W Ih 10",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782015159",
"country_code": "US",
"telephone_number": "210-261-1000",
"fax_number": "210-731-8678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "KEYNA",
"credential": "LCDC , M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-06",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10613",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSE LCDC",
"identifier": "10613",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KEYNA",
"last_name": "LEE",
"credential": "LCDC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Kaufman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.