Individual provider Active NPI

Kellie Lynn Flores

  • Counselor
  • McAllen, TX
National Provider Identifier
1316615164
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
86603 Issued in TX
Practice address
300 E Pecan Blvd
McAllen, TX 78501-9506
Phone
(956) 451-0694
NPI assigned
Sep 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151.0134149TELE VT
Addiction (Substance Use Disorder) Counselor 101YA0400X 16106 TX
Mental Health Counselor 101YM0800X 068.0135111TELE VT
Mental Health Counselor 101YM0800X TPMC3036 FL
Professional Counselor 101YP2500X 449 SC
Professional Counselor 101YP2500X 86603 TX
Counselor 101Y00000X 86603 TX Primary

Addresses

Primary practice location

300 E Pecan Blvd
McAllen, TX 78501-9506

Mailing address

300 E Pecan Blvd
McAllen, TX 78501-9506
Phone (956) 451-0694

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Vortual5
Other URL Virtual

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
151.0134149TELEVTMDAddiction (Substance Use Disorder) Counselor
TPMC3036FLMDMental Health Counselor
068.0135111TELEVTMDMental Health Counselor
449SCMDProfessional Counselor
86603TXMDProfessional Counselor
16106TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Allynn Counseling Services PLLC CurrentSince Mar 19, 2023 Accepting new patients

Locations

300 E Pecan Blvd
McAllen, TX 78501
Phone (956) 451-0694

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": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1316615164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E PECAN BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019506",
            "telephone_number": "956-451-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E PECAN BLVD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019506",
            "telephone_number": "956-451-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KELLIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0134149TELE",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16106",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135111TELE",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC3036",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "449",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86603",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "86603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Vortual5",
            "affiliation": "N",
            "address_1": "300 E Pecan Blvd",
            "city": "McAllen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785019506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Virtual",
            "affiliation": "N",
            "address_1": "300 E Pecan Blvd",
            "city": "McAllen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785019506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.