Individual provider Active NPI

Keisha T Lewis, LPC

  • Professional Counselor
  • Katy, TX
National Provider Identifier
1043599517
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84376 Issued in TX
Practice address
23410 Dovetail Colony CT
Katy, TX 77493-3650
Phone
(832) 384-4380
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OK
Professional Counselor 101YP2500X 84376 TX Primary

Addresses

Primary practice location

23410 Dovetail Colony CT
Katy, TX 77493-3650

Mailing address

23410 Dovetail Colony CT
Katy, TX 77493-3650

Other practice location 1

401 NE 46th St
Oklahoma City, OK 73105-3309
Phone (405) 602-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207003388 TX Practitioner - Mental Health Counselor 2264881879 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84376TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Brighter Days Youth and Family Servcies, LLC Past Accepting new patients

Locations

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

23410 Grand Reserve Dr
Ste 301
Katy, TX 77494
Phone (281) 500-8659

2911 A W Grimes Blvd
Ste 330
Pflugerville, TX 78660
Phone (512) 649-2270

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1043599517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23410 DOVETAIL COLONY CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23410 DOVETAIL COLONY CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933650",
            "telephone_number": "832-384-4380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 NE 46th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731053309",
            "country_code": "US",
            "telephone_number": "405-602-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KEISHA",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.