Individual provider Active NPI

Kathy Roden Floyd, LPC

  • Professional Counselor
  • Paris, TX
National Provider Identifier
1093994766
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62252 Issued in TX
Practice address
3605 NE Loop 286 Ste 300
Paris, TX 75460-5041
Phone
(903) 785-7410
Fax
(903) 785-7758
NPI assigned
Oct 30, 2007
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X 62252 TX Primary

Addresses

Primary practice location

3605 NE Loop 286 Ste 300
Paris, TX 75460-5041

Mailing address

3605 NE Loop 286 Ste 300
Paris, TX 75460-5041
Phone (903) 785-7410

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
I20240216001874 TX Practitioner - Mental Health Counselor 2769834142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3605 NE Loop
286 Suite 300
Paris, TX 75460-5041
Phone (903) 785-7410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62252TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Roden Floyd Ma LPC PLLC Mental Health CurrentSince Jan 4, 2024 Accepting new patients

Locations

3605 NE Loop 286
Ste 300
Paris, TX 75460
Phone (903) 785-7410

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1093994766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 300",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605041",
            "telephone_number": "903-785-7410",
            "fax_number": "903-785-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 300",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605041",
            "telephone_number": "903-785-7410",
            "fax_number": "903-785-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "KATHY",
        "middle_name": "RODEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.