Kaelyn Pate

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204673 Issued in TX

Practice address

125 Chicago Ave
Lubbock, TX 79416-1605

Phone

(785) 825-0541

NPI assigned

May 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Nicole Black, PHD, LPC-S, LCDC, RPT PLLC

  • Professional Counselor
  • Lubbock, TX
  • NPI 1780270173
  Medicare reassignment NPD
• St. Francis Community Services in Texas, Inc.

  • Mental Health Counselor
  • Lubbock, TX
  • NPI 1093445801
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1366299489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W OTIS AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674018713",
            "telephone_number": "785-825-0541",
            "fax_number": "785-825-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHICAGO AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161605",
            "telephone_number": "785-825-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "KAELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faron Keith Paschal, MEDICAL MASSAGE THER
• Darwin D Paschall, PHD
• Kelli Paschall, MS, CDE
• Elvira G. Pascua-Lim, M.D.
• Rachel A.C.a. Pastor, M.D.
• Allana Patel, DC
• Anupa Patel, MD
• Arun D Patel, M.D.
• Devki Patel
• Dipti Patel

• Marriage & Family Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.