NPIMap

Individual provider Active NPI

Kelly Casbon Myer, LCSW

  • Social Worker
  • Spring, TX
National Provider Identifier
1295729176
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
23043 Issued in TX
Practice address
330 Rayford Rd
PMB# 247
Spring, TX 77386-1980
Phone
(832) 367-4486
Fax
(281) 681-1008
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 23043 TX Primary

Addresses

Primary practice location

330 Rayford Rd
PMB# 247
Spring, TX 77386-1980

Mailing address

19221 I-45 South
Ste 440
Conroe, TX 77385
Phone (832) 367-4486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redoak Psychiatry Past Accepting new patients
Red Oak Psychiatry Associates, P.a. PastSince Apr 10, 1991 Accepting new patients

Organizations & group practices 2

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1295729176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 I-45 SOUTH",
            "address_2": "STE 440",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77385",
            "telephone_number": "832-367-4486",
            "fax_number": "281-681-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RAYFORD RD",
            "address_2": "PMB# 247",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773861980",
            "telephone_number": "832-367-4486",
            "fax_number": "281-681-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYER",
        "first_name": "KELLY",
        "middle_name": "CASBON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "23043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.