Individual provider Active NPI

Kelsey Paige Royston, LPC

  • Mental Health Counselor
  • Granbury, TX
National Provider Identifier
1255981866
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
78870 Issued in TX
Practice address
6513 Sonora Dr
Granbury, TX 76049-7232
Phone
(512) 773-0470
NPI assigned
Sep 16, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78870 TX Primary

Addresses

Primary practice location

6513 Sonora Dr
Granbury, TX 76049-7232

Mailing address

6513 Sonora Dr
Granbury, TX 76049-7232
Phone (512) 773-0470

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL theranest Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205001703 TX Practitioner - Mental Health Counselor 7810330008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thinkspot Therapy and Training PLLCGroup PAC ID 1850743436, 5 clinicians

Practice addresses (Care Compare)

1001 E Hebron Pkwy
Suite 118 252
Carrollton, TX 75010-1002
Phone (469) 701-0443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thinkspot Therapy and Training, PLLC. Mental Health CurrentSince Dec 14, 2023 Accepting new patients

Locations

1001 E Hebron Pkwy
Ste 118252
Carrollton, TX 75010
Phone (469) 701-0443

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1255981866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 SONORA DR",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497232",
            "telephone_number": "512-773-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6513 SONORA DR",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497232",
            "telephone_number": "512-773-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTON",
        "first_name": "KELSEY",
        "middle_name": "PAIGE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "theranest",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "601 University Dr Ste 112",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761072170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.