Active NPI
Kelvin Lyle McHenry, MS, NCC, LPC
- Professional Counselor
- Webster, TX
National Provider Identifier
1346631389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70693
- Practice address
- 422 Richvale LN
Webster, TX 77598-2502 - Phone
- (832) 977-6138
- Fax
- (888) 651-1525
- NPI assigned
- Feb 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 70693 | TX | Primary |
Addresses
Primary practice location
422 Richvale LN
Webster, TX 77598-2502
Mailing address
17077 N Texas Ave Unit 58837
Webster, TX 77598-4378
Phone (832) 977-6138
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214002780 | TX | Practitioner - Mental Health Counselor | 9234495268 | Practice locations: Webster, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Master of Science - Law
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1346631389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17077 N TEXAS AVE UNIT 58837",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984378",
"telephone_number": "832-977-6138",
"fax_number": "888-651-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 RICHVALE LN",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775982502",
"telephone_number": "832-977-6138",
"fax_number": "888-651-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHENRY",
"first_name": "KELVIN",
"middle_name": "LYLE",
"credential": "MS, NCC, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-12",
"last_updated": "2023-02-27",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.