KLS Counseling & Consulting Services

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

36677 Issued in TX

Legal business name

KLS COUNSELING & CONSULTING SERVICES

Practice address

214 S Main St
Suite 214
Duncanville, TX 75116-4700

Phone

(469) 407-0381

Fax

(972) 572-1069

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kimber Shelton, PHDNPI 1437474467

Title

Owner

Phone

(716) 400-8301

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimber Shelton, PHD

  • Counseling Psychologist
  • Duncanville, TX
  • NPI 1437474467
  NPD (past) Authorized official

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1033514872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 TEAKWOOD DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751373617",
            "telephone_number": "716-400-8301",
            "fax_number": "972-572-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S MAIN ST",
            "address_2": "SUITE 214",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164700",
            "telephone_number": "469-407-0381",
            "fax_number": "972-572-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLS COUNSELING & CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-400-8301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "36677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Duncanville, TX
• Providers in Duncanville, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.