Organization Active NPI

Exodus Consulting and Psychological Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Texas City, TX
National Provider Identifier
1114793650
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EXODUS CONSULTING AND PSYCHOLOGICAL SERVICES, PLLC
Practice address
3210 Gulf Fwy Apt 4306
Texas City, TX 77591-2841
Phone
(346) 646-2529
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Dr. Kimberly Grimsley, PHDNPI 1013666866
Title
Founder/Ceo
Phone
(346) 646-2529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Developmental Disabilities Clinic/Center 261QD1600X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3210 Gulf Fwy Apt 4306
Texas City, TX 77591-2841

Mailing address

3210 Gulf Fwy Apt 4306
Texas City, TX 77591-2841
Phone (346) 646-2529

Other names 1

  • Exodus Consulting and Psychological Services Former legal business name

National Provider Directory

National Provider Directory

Locations

1501 N Amburn Rd
Ste 12
Texas City, TX 77591
Phone (409) 797-4174

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1114793650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 GULF FWY APT 4306",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912841",
            "telephone_number": "346-646-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 GULF FWY APT 4306",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912841",
            "telephone_number": "346-646-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS CONSULTING AND PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "GRIMSLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "346-646-2529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exodus Consulting and Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.