Active NPI
Kim Peden Garrett, LCSW
- Mental Health Counselor
- Cleburne, TX
National Provider Identifier
1508898966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S15573
- Practice address
- 212 N Anglin St
Cleburne, TX 76031-4133 - Phone
- (817) 645-3328
- Fax
- (817) 558-3203
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | S15573 | TX | Primary |
Addresses
Primary practice location
212 N Anglin St
Cleburne, TX 76031-4133
Mailing address
2704 Park PL
Burleson, TX 76028-6324
Phone (817) 774-6098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S15573 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508898966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 PARK PL",
"city": "BURLESON",
"state": "TX",
"postal_code": "760286324",
"telephone_number": "817-774-6098",
"fax_number": "817-556-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 N ANGLIN ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760314133",
"telephone_number": "817-645-3328",
"fax_number": "817-558-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "KIM",
"middle_name": "PEDEN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "S15573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.