Active NPI
Carolyn Kingsley
- Mental Health Counselor
- Carrollton, TX
National Provider Identifier
1356898431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0017660
- Practice address
- 1501 Cemetery Hill Rd
Carrollton, TX 75007-5096 - Phone
- (778) 392-7795
- NPI assigned
- Sep 6, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 73392 | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 73392 | ||
| Mental Health Counselor | 101YM0800X | 73392 | TX | |
| Professional Counselor | 101YP2500X | 73392 | ||
| Mental Health Counselor | 101YM0800X | 0017660 | CO | Primary |
Addresses
Primary practice location
1501 Cemetery Hill Rd
Carrollton, TX 75007-5096
Mailing address
1405-1471 St Paul Street
Kelowna, BRITISH COLUMBIA V1Y 0K7
CA
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 |
|---|---|---|---|
| 0017660 | CO | MD | Mental Health Counselor |
| 73392 | TX | MD | Emergency Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1356898431",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1405-1471 ST PAUL STREET",
"city": "KELOWNA",
"state": "BRITISH COLUMBIA",
"postal_code": "V1Y 0K7"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CEMETERY HILL RD",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750075096",
"telephone_number": "778-392-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSLEY",
"first_name": "CAROLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "73392",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": "73392",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "73392",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "73392",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0017660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.