Kayla Meyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107370 Issued in TX

Practice address

5326 Enchanted LN
Dallas, TX 75227-1421

Phone

(386) 479-3204

NPI assigned

Nov 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pothos Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dallas, TX
  • NPI 1851075683
  NPD Authorized official

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1164067542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 MCKINNEY AVE STE 155",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041488",
            "telephone_number": "469-319-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 ENCHANTED LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752271421",
            "telephone_number": "386-479-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KAYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19532",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint Meyer, OD
• Dan Marshall Meyer, MD
• Grace Meyer, RN
• Gregory E Meyer, OPA-C
• Jessica Meyer
• Kendra Nichole Meyer
• Mark Anthony Meyer, PHD, RN, APRN FNP-BC
• Mary E Meyer, MD
• Ranie Dawn Meyer, PMHNP-BC, FNP-C
• Richard Lutz Meyer, M.D.

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.