Individual provider Active NPI

Kyle Passmore, MMFT, LMFT

  • Marriage & Family Therapist
  • Abilene, TX
National Provider Identifier
1093435430
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203600 Issued in TX
Practice address
500 Chestnut St Ste 1001
Abilene, TX 79602-1477
Phone
(325) 437-1001
NPI assigned
Aug 29, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 203600 TX Primary

Addresses

Primary practice location

500 Chestnut St Ste 1001
Abilene, TX 79602-1477

Mailing address

500 Chestnut St Ste 1001
Abilene, TX 79602-1477

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
I20240523000464 TX Practitioner - Marriage and Family Therapist 7810339785 Practice locations: Abilene, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203600TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Key City Psychology CurrentSince Aug 25, 2025 Accepting new patients

Locations

500 Chestnut St
Ste 1001
Abilene, TX 79602
Phone (325) 437-1001

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1093435430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHESTNUT ST STE 1001",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHESTNUT ST STE 1001",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021477",
            "telephone_number": "325-437-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMORE",
        "first_name": "KYLE",
        "credential": "MMFT, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.