Kelly Sue Gilmer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

79423 Issued in TX

Practice address

201 E Loop 281
Longview, TX 75605-7911

Phone

(903) 758-2610

Fax

(903) 758-7081

NPI assigned

Aug 17, 2020

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Kelly Sue Moser Other name

Medicare fee-for-service enrollment

Enrolled in SC, TX2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andrews CenterGroup PAC ID 9739170770, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Andrews Center

  dba Andrews Center Chemical Treatment Facility

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1821064742
  Medicare reassignment Care Compare group NPD
• Coastal Samaritan Counseling Center

  • Community/Behavioral Health Agency
  • Myrtle Beach, SC
  • NPI 1922189679

  Single Specialty

  Medicare reassignment NPD
• Better Counseling LLC

  • Mental Health Counselor
  • Lindale, TX
  • NPI 1396565388
  Medicare reassignment
• Longview Wellness Center, Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1942269493
  Medicare reassignment
• Andrews Center

  • Developmental Disabilities Clinic/Center
  • Tyler, TX
  • NPI 1275592370
  NPD
• Andrews Center -Pinkerton

  • Social Worker
  • Tyler, TX
  • NPI 1538604715
  NPD
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1770358582

  Mental Health

  NPD
• Andrews Center - Mr

  • Case Manager/Care Coordinator
  • Tyler, TX
  • NPI 1093876252

  Single Specialty

  NPD (past)
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1255137659

  Mental Health

  NPD (past)
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1578369922

  Mental Health

  NPD (past)
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1629890801

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1629689237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015602",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057911",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 S Henderson Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Kilgore",
            "state": "TX",
            "postal_code": "756623592",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1761 W Loop 281",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756042734",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 E Marshall Ave Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015661",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Medical Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055169",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 W State Highway 243",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "TX",
            "postal_code": "751032113",
            "country_code": "US",
            "telephone_number": "903-567-4197",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Eastman Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016910",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5745 Judson Rd",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756051084",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 S Mobberly Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756023563",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 W Fairmont St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756043511",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015602",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 N Fredonia St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756016464",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Titus St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Gilmer",
            "state": "TX",
            "postal_code": "756441780",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6901 State Highway 19 S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757519119",
            "country_code": "US",
            "telephone_number": "903-675-8541",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012143",
            "country_code": "US",
            "telephone_number": "903-758-2610",
            "fax_number": "903-758-7081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1174 E Lennon Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Emory",
            "state": "TX",
            "postal_code": "754403255",
            "country_code": "US",
            "telephone_number": "903-473-2671",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 W Patten St",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "TX",
            "postal_code": "757731541",
            "country_code": "US",
            "telephone_number": "903-569-5409",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2323 W Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757027704",
            "country_code": "US",
            "telephone_number": "903-535-7458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMER",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8779",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79423",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MOSER",
            "middle_name": "SUE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hayley Gill, RN
• Brenda Gillar, CCC/SLP
• Charlsie Ferguson Gillcoat, ACNP-BC
• Cheryl Diane Gilliam, R.PH.
• Jaclyn P Gilliam, CNM
• Romesha M Gines, LVN
• Debra Lynn Glenn, LCSW
• Rikki Laray Glezen, FNP-C
• Sandra Glezen
• Alan Glowczwski, M.D.

• Professional Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.