Kelly Sue Gilmer, LPC
Individual provider Active NPI Professional Counselor · Longview, TX
NPI 1629689237 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1629689237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 79423 (TX)
- Practice address
- 201 E Loop 281
Longview, TX 75605-7911 - Phone
- (903) 758-2610
- Fax
- (903) 758-7081
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Andrews Center
Practice addresses (Care Compare)
2323 W Front St
Tyler, TX 75702-7704
Phone (903) 597-1351
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212002995 | SC | Practitioner - Mental Health Counselor | 1254774714 | Reassigns benefits to 1 organization |
| I20240704000411 | TX | Practitioner - Mental Health Counselor | 1254774714 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79423 | TX | MD | Professional Counselor |
| 79432 | TX | MD | Professional Counselor |
| 8779 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews Center -Pinkerton | Current |
Accepting new patients | |
| Coastal Samaritan Counseling Center | Single Specialty | Current |
Accepting new patients |
| Andrews Center | Mental Health | Current | Accepting new patients |
| Longview Wellness Center Inc | Mental Health | Current |
Accepting new patients |
| Andrews Center | Current |
Accepting new patients | |
| Andrews Center - Elliott St | Past | Accepting new patients | |
| Longview Wellness Center Inc | Mental Health | Past |
Accepting new patients |
| Longview Wellness Center Inc | Mental Health | Past |
Accepting new patients |
| Andrews Center - Mr | Single Specialty | Past | Accepting new patients |
| Longview Wellness Center Inc | Mental Health | Past |
Accepting new patients |
Locations
1297 Professional Dr
Ste 101
Myrtle Beach, SC 29577
Phone (843) 448-4820
6901 State Highway 19 S
Athens, TX 75751
Phone (903) 675-8541
575 W State Highway 243
Canton, TX 75103
Phone (903) 567-4197
1738 Elliot Dr
Canton, TX 75103
Phone (903) 597-5067
1174 E Lennon Dr
Ste C
Emory, TX 75440
Phone (903) 473-2652
1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763
201 E Loop 281
Longview, TX 75605
703 W Patten St
Mineola, TX 75773
Phone (903) 569-5409
1722 W Front St
Tyler, TX 75702
Phone (903) 593-4004
2323 W Front St
Tyler, TX 75702
Phone (903) 535-7355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8779 | SC | |
| Mental Health Counselor | 101YM0800X | 79423 | TX | |
| Professional Counselor |
101YP2500X | 79423 | TX | Yes |
Addresses
Primary practice location
201 E Loop 281
Longview, TX 75605-7911
Mailing address
1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610
Other practice location 1
1711 S Henderson Blvd Ste 400
Kilgore, TX 75662-3592
Phone (903) 758-2610
Other practice location 2
1761 W Loop 281
Longview, TX 75604-2734
Phone (903) 758-2610
Other practice location 3
705 E Marshall Ave Ste 3000
Longview, TX 75601-5661
Phone (903) 758-2610
Other practice location 4
802 Medical Cir Ste 101
Longview, TX 75605-5169
Phone (903) 758-2610
Other practice location 5
575 W State Highway 243
Canton, TX 75103-2113
Phone (903) 567-4197
Other practice location 6
400 N Eastman Rd
Longview, TX 75601-6910
Phone (903) 758-2610
Other practice location 7
5745 Judson Rd
Longview, TX 75605-1084
Phone (903) 758-2610
Other practice location 8
2131 S Mobberly Ave
Longview, TX 75602-3563
Phone (903) 758-2610
Other practice location 9
1001 W Fairmont St
Longview, TX 75604-3511
Phone (903) 758-2610
Other practice location 10
1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610
Other practice location 11
425 N Fredonia St
Longview, TX 75601-6464
Phone (903) 758-2610
Other practice location 12
602 Titus St Ste 130
Gilmer, TX 75644-1780
Phone (903) 758-2610
Other practice location 13
6901 State Highway 19 S
Athens, TX 75751-9119
Phone (903) 675-8541
Other practice location 14
825 Medical Dr Ste A
Tyler, TX 75701-2143
Phone (903) 758-2610
Other practice location 15
1174 E Lennon Dr Ste C
Emory, TX 75440-3255
Phone (903) 473-2671
Other practice location 16
703 W Patten St
Mineola, TX 75773-1541
Phone (903) 569-5409
Other practice location 17
2323 W Front St
Tyler, TX 75702-7704
Phone (903) 535-7458
Other names
- Kelly Sue Moser
Other providers in Longview, TX
- Hayley Gill
- Brenda Gillar
- Charlsie Ferguson Gillcoat
- Cheryl Diane Gilliam
- Jaclyn P Gilliam
- Romesha M Gines
- Debra Lynn Glenn
- Rikki Laray Glezen
- Sandra Glezen
- Alan Glowczwski
All providers in Longview, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.