Individual provider Active NPI

Kelly Ann Pape-Sims, LPC

  • Counselor
  • Corpus Christi, TX
National Provider Identifier
1275254526
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
84518 Issued in TX
Practice address
1533 S Brownlee Blvd
Corpus Christi, TX 78404-3131
Phone
(361) 884-2242
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 84518 TX Primary

Addresses

Primary practice location

1533 S Brownlee Blvd
Corpus Christi, TX 78404-3131

Mailing address

1511 E Main St
Rockport, TX 78382-7819
Phone (361) 463-6285

Other practice location 1

1711 W Wheeler Ave Ste 1
Aransas Pass, TX 78336-4536
Phone (361) 886-3025

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
I20260602000073 TX Practitioner - Mental Health Counselor 8628549516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1511 E Main St
Rockport, TX 78382-7819

1700 Wildcat Dr
Suite D
Portland, TX 78374-2838

4821 Williams Dr
Corpus Christi, TX 78411-4745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
84518TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeland Counseling LLC CurrentSince Sep 11, 2022 Accepting new patients

Locations

1700 Wildcat Dr
Ste D
Portland, TX 78374
Phone (361) 445-4080

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1275254526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E MAIN ST",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783827819",
            "telephone_number": "361-463-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S BROWNLEE BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043131",
            "telephone_number": "361-884-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 W Wheeler Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Aransas Pass",
            "state": "TX",
            "postal_code": "783364536",
            "country_code": "US",
            "telephone_number": "361-886-3025",
            "fax_number": "361-884-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPE-SIMS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "84518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.