Kelsie Lyn Goller, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75376 Issued in TX

Practice address

140 E Tyler St Ste 310
Longview, TX 75601-7214

Phone

(903) 202-0391

NPI assigned

Nov 4, 2013

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Kranz Psychological Services, PLLC

  • Clinical Psychologist
  • Longview, TX
  • NPI 1679018287

  Mental Health

  Medicare reassignment NPD
• Counseling Services, PLLC

  dba 465547007 -Counseling Services, PLLC

  • Mental Health Counselor
  • Henderson, TX
  • NPI 1467863407
  NPD

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1437588068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E TYLER ST STE 310",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017214",
            "telephone_number": "903-202-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E TYLER ST STE 310",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017214",
            "telephone_number": "903-202-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLER",
        "first_name": "KELSIE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rikki Laray Glezen, FNP-C
• Sandra Glezen
• Alan Glowczwski, M.D.
• Jason Gnasigamany, DO
• Godly Hospice and Palliative Care LLC (Three Oaks Hospice)
• Suzanne M Gomez-Diaz, MD
• Jade Gomillion
• Carmen Marie Gonzales, M.D.
• Peggy A Gonzales, LCDC
• Richard H Gonzales, CP, LPO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.

Verify at the official NPI Registry.