Individual provider Active NPI

Kelly Elizabeth Peyton, LPC-S

  • Professional Counselor
  • Katy, TX
National Provider Identifier
1477800860
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69599 Issued in TX
Practice address
633 E Fernhurst Dr Ste 1102
Katy, TX 77450-1592
Phone
(281) 940-8515
Fax
(888) 972-1582
NPI assigned
Aug 6, 2012
Last updated
Jan 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 69599 TX Primary

Addresses

Primary practice location

633 E Fernhurst Dr Ste 1102
Katy, TX 77450-1592

Mailing address

6011 Nash Creek CT
Katy, TX 77494-2237
Phone (832) 928-6376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 N Loop 1604
Apt 5208
San Antonio, TX 78232-1281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69599TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Counseling PC CurrentSince Jan 22, 2023 Accepting new patients

Locations

633 E Fernhurst Dr
Ste 1102
Katy, TX 77450
Phone (281) 940-8515

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": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673740800000",
    "number": "1477800860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 NASH CREEK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942237",
            "telephone_number": "832-928-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 1102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501592",
            "telephone_number": "281-940-8515",
            "fax_number": "888-972-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.