Amy Lynn Kellison, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

70236 Issued in TX

Practice address

812 W 8TH St Ste 6a
Plainview, TX 79072

Phone

(806) 429-2656

Fax

(833) 477-1234

NPI assigned

Aug 31, 2017

Last updated

Jul 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossroads Mental Health Services, PLLC

  • Mental Health Counselor
  • Plainview, TX
  • NPI 1861972192
  NPD Authorized official

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1376061184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W 8TH ST STE 6A",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790727931",
            "telephone_number": "806-778-8800",
            "fax_number": "833-477-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W 8TH ST STE 6A",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "79072",
            "telephone_number": "806-429-2656",
            "fax_number": "833-477-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLISON",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Watkins M.D. P.a.
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• Kevin L Stewart, MD, PA (LegMan Vein)
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• Christine Kim, DDS
• Kindstar, Inc. (Accolade Home Care)

• Professional Counselor in Plainview, TX
• Providers in Plainview, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.