Individual provider Active NPI

Kelsey Simone Calhoun

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1114871829
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
971555 Issued in TX
Practice address
3411 Cedar Knolls Dr Ste B
Kingwood, TX 77339-2474
Phone
(281) 532-5462
NPI assigned
Feb 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 971555 TX Primary

Addresses

Primary practice location

3411 Cedar Knolls Dr Ste B
Kingwood, TX 77339-2474

Mailing address

3411 Cedar Knolls Dr Ste B
Kingwood, TX 77339-2474
Phone (281) 532-5462

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260507003652 TX Practitioner - Nurse Practitioner 8820566821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bharath G RajGroup PAC ID 6002101839, 8 clinicians

Practice addresses (Care Compare)

3411 Cedar Knolls Dr
Suite B
Kingwood, TX 77339-2474
Phone (281) 532-5462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
971555TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bharath G Raj CurrentSince Apr 28, 2026 Accepting new patients

Locations

3411 Cedar Knolls Dr
Ste B
Kingwood, TX 77339
Phone (281) 532-5462

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1114871829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 CEDAR KNOLLS DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392474",
            "telephone_number": "281-532-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 CEDAR KNOLLS DR STE B",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392474",
            "telephone_number": "281-532-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "KELSEY",
        "middle_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-21",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "971555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.