Organization Active NPI

Kathy Roden Floyd Ma LPC PLLC

  • Mental Health Counselor
  • Paris, TX
National Provider Identifier
1609645654
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KATHY RODEN FLOYD MA LPC PLLC
Practice address
3605 NE Loop 286 Ste 300
Paris, TX 75460-5041
Phone
(903) 785-7758
NPI assigned
Jan 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Authorized official

Name
Kathy R Floyd, LPCNPI 1093994766
Title
Owner Provider
Phone
(903) 785-7410

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3605 NE Loop 286 Ste 300
Paris, TX 75460-5041

Mailing address

3605 NE Loop 286 Ste 300
Paris, TX 75460-5041
Phone (903) 785-7758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122002350 TX Part B Supplier - Clinic/Group Practice 1850743238 Receives reassigned benefits from 1 practitioner
Practice locations: Paris, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1609645654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 300",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605041",
            "telephone_number": "903-785-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NE LOOP 286 STE 300",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605041",
            "telephone_number": "903-785-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY RODEN FLOYD MA LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "903-785-7410",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.