Individual provider Active NPI

Rachel Michelle Kelley, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1235830829
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89418 Issued in TX
Practice address
1515 S Capital of Texas Hwy Ste 300&310
Austin, TX 78746-6579
Phone
(844) 824-8775
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89418 TX Primary

Addresses

Primary practice location

1515 S Capital of Texas Hwy Ste 300&310
Austin, TX 78746-6579

Mailing address

22016 Briarcliff Dr
Spicewood, TX 78669-2013
Phone (830) 708-9156

Other practice location 1

22016 Briarcliff Dr
Spicewood, TX 78669-2013
Phone (830) 708-9156

Other practice location 2

9501 N Capital Of Texas Hwy Ste 104
Austin, TX 78759-7254
Phone (214) 618-8402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Mental Health CurrentSince Jan 28, 2025 Accepting new patients

Locations

9501 N Capital of Texas Hwy
Ste 104
Austin, TX 78759
Phone (512) 222-6946

1515 S Capital of Texas Hwy
Ste 300
Austin, TX 78746
Phone (512) 736-6743

3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.rachelkelley@136732.advancedmd-direct.com

Organizations & group practices 1

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1235830829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22016 BRIARCLIFF DR",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786692013",
            "telephone_number": "830-708-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S CAPITAL OF TEXAS HWY STE 300&310",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466579",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22016 Briarcliff Dr",
            "address_purpose": "LOCATION",
            "city": "Spicewood",
            "state": "TX",
            "postal_code": "786692013",
            "country_code": "US",
            "telephone_number": "830-708-9156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9501 N Capital Of Texas Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787597254",
            "country_code": "US",
            "telephone_number": "214-618-8402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "RACHEL",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.