Kelsey McCoy Boyd, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15418 Issued in TX

Practice address

11502 Parsons Rd
Manor, TX 78653-5220

Phone

(512) 273-4550

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BRC Outpatient Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Manor, TX
  • NPI 1366838005
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1659987048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 PARSONS RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535220",
            "telephone_number": "512-567-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 PARSONS RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535220",
            "telephone_number": "512-273-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KELSEY",
        "middle_name": "MCCOY",
        "name_prefix": "Mrs.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Beam, LPC
• Bernice Health Services LLC (Harris Room /And Board)
• Monica Bhakta
• Cory Joseph Bickham, LCDC
• Abigayle Bowser, RN
• Brandi Robinson-Meyer, Lsa, LLC
• BRC Outpatient Services, LLC
• Christina Marie Brown, CNP
• Jason Brown, PMHNP
• Patricia Diane Brown

• Addiction (Substance Use Disorder) Counselor in Manor, TX
• Providers in Manor, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.