Individual provider Active NPI

Kellie Lomas

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1306479985
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63958 Issued in TX
Practice address
12807 Haynes Rd BLDG C1
Houston, TX 77066-1124
Phone
(346) 634-7571
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 63958 TX Primary

Addresses

Primary practice location

12807 Haynes Rd BLDG C1
Houston, TX 77066-1124

Mailing address

700 N Sam Houston Pkwy W
Houston, TX 77067-4335

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
I20251104003778 TX Practitioner - Mental Health Counselor 7719477280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14922 Big Spring Park Dr
Cypress, TX 77433-4235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63958TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Liberated Minds TX Counseling PLLC Professional CurrentSince Oct 23, 2025 Accepting new patients

Locations

12807 Haynes Rd
Bldg C1
Houston, TX 77066
Phone (281) 407-1309

2219 Sawdust Rd
Ste 1204
The Woodlands, TX 77380
Phone (281) 377-0525

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": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1306479985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N SAM HOUSTON PKWY W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12807 HAYNES RD BLDG C1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661124",
            "telephone_number": "346-634-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAS",
        "first_name": "KELLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.