Individual provider Active NPI

Kelly Reese

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1477227767
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85609 Issued in TX
Practice address
315 N San Saba Ste 1003
San Antonio, TX 78207-3100
Phone
(210) 261-3237
NPI assigned
Aug 2, 2021
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 85609 TX Primary

Addresses

Primary practice location

315 N San Saba Ste 1003
San Antonio, TX 78207-3100

Mailing address

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (102) 611-0602

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
I20240312002572 TX Practitioner - Mental Health Counselor 7113363243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Texas Centers for MHMRGroup PAC ID 3971587502, 14 clinicians

Practice addresses (Care Compare)

1501 W 11TH PL
Suite 104
Big Spring, TX 79720-4122
Phone (432) 263-0027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85609TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Centers for MHMR CurrentSince Sep 18, 2025 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation Professional PastSince Jan 22, 2023 Accepting new patients

Locations

1501 W 11th Pl
Ste 104
Big Spring, TX 79720
Phone (432) 263-0027

409 Runnels St
Big Spring, TX 79720
Phone (432) 264-2650

700 W Daggett St
Ste 4
Pecos, TX 79772
Phone (432) 447-2628

304 W New Mexico Ave
Sweetwater, TX 79556
Phone (325) 236-6619

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1477227767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 200S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134293",
            "telephone_number": "102-611-0602",
            "fax_number": "210-261-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA STE 1003",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073100",
            "telephone_number": "210-261-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.