Individual provider Active NPI

Colleen Marie Keiser, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1477242519
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85634 Issued in TX
Practice address
12337 Jones Rd Ste 114
Houston, TX 77070-4844
Phone
(281) 894-7222
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 85634 TX Primary

Addresses

Primary practice location

12337 Jones Rd Ste 114
Houston, TX 77070-4844

Mailing address

17222 Bainham Forest TRL
Hockley, TX 77447-2168
Phone (832) 370-6613

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
I20231212004262 TX Practitioner - Mental Health Counselor 9436508660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

15103 Mason Rd
Suite E2
Cypress, TX 77433-6458
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85634TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Shield-Bearer Counseling Centers PastSince May 7, 2023 Accepting new patients

Locations

15103 Mason Rd
Ste E-2
Cypress, TX 77433
Phone (281) 570-7947

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

16310 Tomball Pkwy
Ste 104
Houston, TX 77064
Phone (210) 864-1420

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1477242519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 BAINHAM FOREST TRL",
            "city": "HOCKLEY",
            "state": "TX",
            "postal_code": "774472168",
            "telephone_number": "832-370-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 JONES RD STE 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704844",
            "telephone_number": "281-894-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISER",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.