Kandys Renee' McKinley, MED, LPC, LSOTP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

67361 Issued in TX

Practice address

2147 Diamond Crest Dr
Missouri City, TX 77489-3285

Phone

(832) 816-8444

NPI assigned

May 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restored Haven Counseling

  • Professional Counselor
  • Houston, TX
  • NPI 1508311333
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1023455128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9896 BISSONNET ST STE 131",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368104",
            "telephone_number": "832-705-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 DIAMOND CREST DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893285",
            "telephone_number": "832-816-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "KANDYS",
        "middle_name": "RENEE'",
        "credential": "MED, LPC, LSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320497601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Ann McCue, D.D.S.
• Naomi M McDaniel
• Lisa Lachelle McGriff-Metz, DDS
• Erica McIntosh-Harrison, RN
• Linda McKenzie, RN
• Lorraine Elizabeth McKinney, DPM
• Steven Francis McLain, PHD, LPC
• Deirdre McMullen, M.D.
• Zachary Thomas McWilliams
• Meadows Place Dialysis - Dsi, LLC

• Professional Counselor in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.