Active NPI
Susan McKelvy, PLLC
- Professional Counselor
- Richardson, TX
National Provider Identifier
1114283710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61235
- Legal business name
- SUSAN MCKELVY, PLLC
- Practice address
- 1755 N Collins Blvd Ste 525
Richardson, TX 75080-3613 - Phone
- (214) 369-5522
- NPI assigned
- Apr 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan McKelvy, LPC-S
- Title
- Therapist
- Phone
- (214) 369-5522
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61235 | TX | Primary |
Addresses
Primary practice location
1755 N Collins Blvd Ste 525
Richardson, TX 75080-3613
Mailing address
1755 N Collins Blvd Ste 525
Richardson, TX 75080-3613
Phone (214) 369-5522
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1114283710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 N COLLINS BLVD STE 525",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803613",
"telephone_number": "214-369-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N COLLINS BLVD STE 525",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803613",
"telephone_number": "214-369-5522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN MCKELVY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "MCKELVY",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "214-369-5522",
"authorized_official_credential": "LPC-S"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.