NPIMap

Organization Active NPI

Neely Behavioral Health

  • Mental Health Counselor
  • Helotes, TX
National Provider Identifier
1033879838
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NEELY BEHAVIORAL HEALTH
Practice address
12030 Bandera Rd Ste D
Helotes, TX 78023-4735
Phone
(210) 523-4200
Fax
(210) 523-4202
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Kirleen Neely, PHDNPI 1548376387
Title
Clinical Director/Owner
Phone
(210) 523-4200

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

12030 Bandera Rd Ste D
Helotes, TX 78023-4735

Mailing address

12030 Bandera Rd Ste D
Helotes, TX 78023-4735
Phone (210) 523-4200

Other practice location 1

11153 Westwood Loop Ste 122
San Antonio, TX 78253-6766
Phone (210) 523-4200

Other identifiers 1

IdentifierTypeStateIssuer
096034601MedicaidTX

Other names 1

  • Neely Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

12030 Bandera Rd
Ste D
Helotes, TX 78023
Phone (210) 523-4200

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1033879838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 BANDERA RD STE D",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234735",
            "telephone_number": "210-523-4200",
            "fax_number": "210-523-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 BANDERA RD STE D",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234735",
            "telephone_number": "210-523-4200",
            "fax_number": "210-523-4202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11153 Westwood Loop Ste 122",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782536766",
            "country_code": "US",
            "telephone_number": "210-523-4200",
            "fax_number": "210-523-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEELY BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "KIRLEEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "210-523-4200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096034601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neely Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.