Active NPI
Kelsey King Bass, M.A., LPC
- Professional Counselor
- Deer Park, TX
National Provider Identifier
1124870050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 94375
- Practice address
- 1621 N Yellowstone Dr
Deer Park, TX 77536-6378 - Phone
- (469) 865-9369
- NPI assigned
- Apr 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 94375 | TX | Primary |
Addresses
Primary practice location
1621 N Yellowstone Dr
Deer Park, TX 77536-6378
Mailing address
1621 N Yellowstone Dr
Deer Park, TX 77536-6378
Phone (469) 865-9369
Other names 1
- Kelsey King
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94375 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1124870050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 N YELLOWSTONE DR",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775366378",
"telephone_number": "469-865-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 N YELLOWSTONE DR",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775366378",
"telephone_number": "469-865-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "KELSEY",
"middle_name": "KING",
"credential": "M.A., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-03",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "94375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "KING",
"credential": "M.A., LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Deer Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.