Individual provider Active NPI

Kaylynn S Root, LPC, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • San Antonio, TX
National Provider Identifier
1356997191
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14746 Issued in TX
Practice address
8207 Callaghan Rd Ste 200
San Antonio, TX 78230-4736
Phone
(210) 646-1570
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83497 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 14746 TX Primary

Addresses

Primary practice location

8207 Callaghan Rd Ste 200
San Antonio, TX 78230-4736

Mailing address

150 Port Royal
Aransas Pass, TX 78336-6706
Phone (406) 439-3992

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
I20260321000177 TX Practitioner - Mental Health Counselor 5698259281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Behavioral Health - Killeen PLLCGroup PAC ID 3173050440, 9 clinicians

Practice addresses (Care Compare)

8207 Callaghan Rd
Suite 200
San Antonio, TX 78230-4736
Phone (210) 646-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14746TXMDAddiction (Substance Use Disorder) Counselor
83497TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Behavioral Health - Killeen PLLC CurrentSince Mar 3, 2026 Accepting new patients

Locations

809 S W S Young Dr
Killeen, TX 76543
Phone (254) 226-3090

8207 Callaghan Rd
Ste 200
San Antonio, TX 78230
Phone (210) 646-1570

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1356997191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PORT ROYAL",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783366706",
            "telephone_number": "406-439-3992",
            "fax_number": "406-439-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 CALLAGHAN RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304736",
            "telephone_number": "210-646-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "KAYLYNN",
        "middle_name": "S",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83497",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.