Kelly Marie Ayala, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

66255 Issued in TX

Practice address

2750 W Virginia Pkwy
Ste. 108
McKinney, TX 75071-5084

Phone

(972) 542-8144

NPI assigned

Oct 18, 2011

Last updated

Nov 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 5, 2024 through Jan 5, 2028

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Branch Counseling PLLC

  • Mental Health Counselor
  • Farmers Branch, TX
  • NPI 1003358318
  NPD (past) Authorized official
• Karen Suzanne Hales

  dba Counseling and Consulting Associates of North Texas

  • Counselor
  • McKinney, TX
  • NPI 1629156682
  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1043595325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13824 BRAEMAR DR",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343826",
            "telephone_number": "318-840-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W VIRGINIA PKWY",
            "address_2": "STE. 108",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715084",
            "telephone_number": "972-542-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYALA",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenton Kyle Avant
• Steven James Avers, D.O.
• Aviator Rehab Specialists LLC (Aviator Sports Performance & Rehabilitation)
• Avicenna Vascular Institute LLC (Avicenna Vascular Institute)
• Irene Avina, LCSW
• Oluwatoyin O Ayangade, REGISTERED NURSE
• Mary Kathleen Ayers, CCC-SLP
• Archana Kodandaraman Ayyar, MD
• Ahmad Azhar
• Syed Aziz, M.D.

• Mental Health Counselor in McKinney, TX
• Providers in McKinney, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.