NPIMap

Organization Active NPI

KM Counseling Services PLLC

  • Mental Health Counselor
  • Garden Ridge, TX
National Provider Identifier
1508329087
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KM COUNSELING SERVICES PLLC
Practice address
19315 FM 2252 Ste 310
Garden Ridge, TX 78266-2553
Phone
(210) 314-1606
Fax
(210) 714-9639
NPI assigned
Apr 10, 2019
Last updated
Apr 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Mrs. Kelly Renee Martin, LPCNPI 1821347394
Title
Owner
Phone
(210) 314-1606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

19315 FM 2252 Ste 310
Garden Ridge, TX 78266-2553

Mailing address

19315 FM 2252 Ste 310
Garden Ridge, TX 78266-2553
Phone (210) 314-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211004860 TX Part B Supplier - Clinic/Group Practice 3779019807 Receives reassigned benefits from 2 practitioners
Practice locations: Schertz, TX

National Provider Directory

National Provider Directory

Locations

19315 FM 2252
Ste 310
Garden Ridge, TX 78266
Phone (210) 314-1606

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1508329087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19315 FM 2252 STE 310",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662553",
            "telephone_number": "210-314-1606",
            "fax_number": "210-714-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19315 FM 2252 STE 310",
            "city": "GARDEN RIDGE",
            "state": "TX",
            "postal_code": "782662553",
            "telephone_number": "210-314-1606",
            "fax_number": "210-714-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-314-1606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Ridge, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.