Individual provider Active NPI

Kiana Scott-Mayse, LPC

  • Professional Counselor
  • Rosharon, TX
National Provider Identifier
1619449014
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77589 Issued in TX
Practice address
14111 Rosebriar Glen CT
Rosharon, TX 77583-2961
Phone
(832) 364-9143
NPI assigned
Dec 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 77589 TX Primary

Addresses

Primary practice location

14111 Rosebriar Glen CT
Rosharon, TX 77583-2961

Mailing address

14111 Rosebriar Glen CT
Rosharon, TX 77583-2961
Phone (832) 364-9143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326002313 TX Practitioner - Mental Health Counselor 2860977949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77589TXMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1619449014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 ROSEBRIAR GLEN CT",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775832961",
            "telephone_number": "832-364-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 ROSEBRIAR GLEN CT",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775832961",
            "telephone_number": "832-364-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-MAYSE",
        "first_name": "KIANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-23",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosharon, TX

Sources for this page

Verify at the official NPI Registry.