Organization Active NPI

Kaleidoscope Counseling, PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1023542420
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63431 Issued in TX
Legal business name
KALEIDOSCOPE COUNSELING, PLLC
Practice address
14603 Huebner Rd BLDG 6
San Antonio, TX 78230-5475
Phone
(210) 239-1285
NPI assigned
Apr 12, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Kelli Mathias, LPCNPI 1255422028
Title
Counselor
Phone
(210) 250-1285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63431 TX Primary

Addresses

Primary practice location

14603 Huebner Rd BLDG 6
San Antonio, TX 78230-5475

Mailing address

82 Blue Thorn TRL
San Antonio, TX 78256-1639
Phone (210) 250-1285

National Provider Directory

National Provider Directory

Locations

14603 Huebner Rd
Bldg 6
San Antonio, TX 78230
Phone (210) 260-3948

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1023542420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 BLUE THORN TRL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561639",
            "telephone_number": "210-250-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD BLDG 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305475",
            "telephone_number": "210-239-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "210-250-1285",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63431",
            "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 Apr 12, 2017; 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.