Individual provider Active NPI

Cheryl Kelley, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1124428263
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68281 Issued in TX
Practice address
3519 Paesanos Pkwy Ste 105
San Antonio, TX 78231-1266
Phone
(210) 481-4265
Fax
(210) 851-8374
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 68281 TX Primary

Addresses

Primary practice location

3519 Paesanos Pkwy Ste 105
San Antonio, TX 78231-1266

Mailing address

3519 Paesanos Pkwy Ste 105
San Antonio, TX 78231-1266
Phone (210) 481-4265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68281TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Garcias Family Wellness Psychology Group PLLC Professional PastSince Jun 23, 2024 Accepting new patients
Anne Esquivel, PH.D., P.a. Past Accepting new patients

Organizations & group practices 2

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": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1124428263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 PAESANOS PKWY STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311266",
            "telephone_number": "210-481-4265",
            "fax_number": "210-851-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 PAESANOS PKWY STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311266",
            "telephone_number": "210-481-4265",
            "fax_number": "210-851-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHERYL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.