Active NPI
Kimberlee Kays
- Counselor
- Richardson, TX
National Provider Identifier
1336684828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 76911
- Practice address
- 1901 N Central Expy Ste 220
Richardson, TX 75080-3558 - Phone
- (972) 680-8986
- NPI assigned
- Dec 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13547 | TX | |
| Counselor | 101Y00000X | 76911 | TX | Primary |
Addresses
Primary practice location
1901 N Central Expy Ste 220
Richardson, TX 75080-3558
Mailing address
3809 Blaylock PL
Plano, TX 75025-4393
Phone (214) 395-6160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13547 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 76911 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1336684828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 BLAYLOCK PL",
"city": "PLANO",
"state": "TX",
"postal_code": "750254393",
"telephone_number": "214-395-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N CENTRAL EXPY STE 220",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803558",
"telephone_number": "972-680-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYS",
"first_name": "KIMBERLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "13547",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "76911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.