Buckner Psychotherapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BUCKNER PSYCHOTHERAPY, PLLC

Practice address

10160 Highway 242 Ste 8001008
Conroe, TX 77385-4379

Phone

(713) 364-4380

NPI assigned

Apr 25, 2024

Last updated

Oct 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberley Buckner-Manley, LPCNPI 1053714634

Title

Psychotherapist/Owner

Phone

(936) 661-1519

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberley Buckner-Manley, MA, LPC

  • Professional Counselor
  • Conroe, TX
  • NPI 1053714634
  NPD Authorized official

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1174379622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 HIGHWAY 242 STE 8001008",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773854379",
            "telephone_number": "713-364-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 HIGHWAY 242 STE 8001008",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773854379",
            "telephone_number": "713-364-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "BUCKNER-MANLEY",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "936-661-1519",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya B Bryant, LPC
• Kristy Dawn Buchanan, MA, LPC
• John Eric Buck, M.D.
• Kristin Buck
• Michael A Buck, O.D.
• Kimberley Buckner-Manley, MA, LPC
• Olajide Abdulqadri Buhari, MD
• Robin M Bull, PA-C
• Bullock OB/GYN PA
• Kaylee Bullock

• Professional Counselor in Conroe, TX
• Providers in Conroe, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.