Kimberley Buckner-Manley, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

69916 Issued in TX

Practice address

10160 Highway 242 Ste 8001008
Conroe, TX 77385-4379

Phone

(713) 364-4380

NPI assigned

Sep 26, 2014

Last updated

Oct 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Buckner Psychotherapy, PLLC

  • Professional Counselor
  • Conroe, TX
  • NPI 1174379622
  NPD Authorized official

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1053714634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 HIGHWAY 242 STE 8001008",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773854379",
            "telephone_number": "713-364-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 HIGHWAY 242 STE 8001008",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773854379",
            "telephone_number": "713-364-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER-MANLEY",
        "first_name": "KIMBERLEY",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "69916",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69916",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Dawn Buchanan, MA, LPC
• John Eric Buck, M.D.
• Kristin Buck
• Michael A Buck, O.D.
• Buckner Psychotherapy, PLLC
• Olajide Abdulqadri Buhari, MD
• Robin M Bull, PA-C
• Bullock OB/GYN PA
• Kaylee Bullock
• Jennifer Taka Bulus, APRN PMHNP BC

• Professional Counselor in Conroe, TX
• Providers in Conroe, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.