Kyle Tillson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75023 Issued in TX

Practice address

500 Chestnut St
Abilene, TX 79602-1453

Phone

(325) 437-1001

Fax

(325) 437-1005

NPI assigned

Nov 6, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Key City Psychology

  • Community/Behavioral Health Agency
  • Abilene, TX
  • NPI 1922986579
  NPD (past)

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1679946099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHESTNUT ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021453",
            "telephone_number": "325-437-1001",
            "fax_number": "325-437-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHESTNUT ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021453",
            "telephone_number": "325-437-1001",
            "fax_number": "325-437-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 S Clack St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796054611",
            "country_code": "US",
            "telephone_number": "325-691-0923",
            "fax_number": "325-691-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLSON",
        "first_name": "KYLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75023",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "75023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Lee Throckmorton, FNP-C
• Norah A Thurman, M.A.,CCC/SLP
• Anna Flavya Thyne, FNP
• Taylor Reed Tidmore, MD
• Lindsey Erin Tierce, P.T. , D.P.T
• Timothy P. Bumann D.O. P.a.
• Timothy S Melton DC PC
• Jane Estes Tindol, DDS
• Victoria Jill Tindol, DDS
• Barbara Louise Tiner, PHARMD

• All providers in Abilene, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.