Active NPI
Matthew E Kelley
- Professional Counselor
- Houston, TX
National Provider Identifier
1659258804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 95831
- Practice address
- 1814 N Memorial Way
Houston, TX 77007-8420 - Phone
- (281) 815-6875
- NPI assigned
- Aug 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 95831 | TX | Primary |
Addresses
Primary practice location
1814 N Memorial Way
Houston, TX 77007-8420
Mailing address
1814 N Memorial Way
Houston, TX 77007-8420
Phone (281) 815-6875
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Houston, TX 77007
Phone (281) 815-6875
6622 Point Clear Dr
Houston, TX 77069-3215
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95831 | TX | MD | Professional 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": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1659258804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 N MEMORIAL WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770078420",
"telephone_number": "281-815-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 N MEMORIAL WAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770078420",
"telephone_number": "281-815-6875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "MATTHEW",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "95831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.