Organization Active NPI

Full Circle Wellness and Psychotherapy, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Georgetown, TX
National Provider Identifier
1538806872
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FULL CIRCLE WELLNESS AND PSYCHOTHERAPY, PLLC
Practice address
601 Quail Valley Dr # 327
Georgetown, TX 78626-8051
Phone
(541) 727-8542
NPI assigned
May 18, 2022
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Dr. Kerrie Rouse, PHD, LPC, LMFTNPI 1215693296
Title
Owner
Phone
(541) 727-8542

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

601 Quail Valley Dr # 327
Georgetown, TX 78626-8051

Mailing address

102 W 3Rd St Ste 1000
Winston Salem, NC 27101-3996

Other practice location 1

102 W 3rd St
Winston Salem, NC 27101-3940
Phone (512) 355-1091

National Provider Directory

National Provider Directory
Tax ID family
Full Circle Wellness and Psychotherapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 W 3rd St
Winston Salem, NC 27101
Phone (305) 417-2657

102 W 3rd St
Ste 1000
Winston Salem, NC 27101
Phone (336) 701-7504

601 Quail Valley Dr
#327
Georgetown, TX 78626
Phone (541) 727-8542

723 W University Ave
Ste 220
Georgetown, TX 78626

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1538806872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 3RD ST STE 1000",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 QUAIL VALLEY DR # 327",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786268051",
            "telephone_number": "541-727-8542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271013940",
            "country_code": "US",
            "telephone_number": "512-355-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FULL CIRCLE WELLNESS AND PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-727-8542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.