Wendy Kay Killam, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13849 Issued in TX

Practice address

320 North St Ste 206
Nacogdoches, TX 75961-5018

Phone

(936) 244-5681

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 24, 2024 through Apr 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nacogdoches Counseling Services, PLLC

  • Mental Health Counselor
  • Nacogdoches, TX
  • NPI 1669306718
  NPD (past)

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1194592964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 LEWELLIN PL",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759046976",
            "telephone_number": "936-615-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NORTH ST STE 206",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615018",
            "telephone_number": "936-244-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLAM",
        "first_name": "WENDY",
        "middle_name": "KAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Key, FNP-C
• Abdul Majeed Khatri, M.D.
• Munawwer Khurshid, M.D.
• David Khuzistani, PHARM.D.
• Stephen Joseph Kiesel, D.D.S.
• Kelly Killfoil
• Kim M Schaus MD PA
• Kimberly Biggs-Lewis PLLC
• King Vision LLC
• Alisa Rebecca King, CNM

• Mental Health Counselor in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.