Individual provider Active NPI

Yaschia Kinsey, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1730331075
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90345 Issued in TX
Practice address
508 Deep Eddy Ave
Austin, TX 78703-4555
Phone
(512) 887-3993
NPI assigned
Oct 17, 2008
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X 90345 TX Primary

Addresses

Primary practice location

508 Deep Eddy Ave
Austin, TX 78703-4555

Mailing address

508 Deep Eddy Ave
Austin, TX 78703-4555
Phone (512) 887-3993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90345TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Centered Psychiatry PLLC CurrentSince Sep 30, 2024 Accepting new patients

Locations

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

4119 Montrose Blvd
Ste 500
Houston, TX 77006
Phone (512) 456-9183

Interoperability endpoints

  • Direct secure messaging: yaschia.kinsey.p1@direct.liberty-resources.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1730331075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 DEEP EDDY AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034555",
            "telephone_number": "512-887-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 DEEP EDDY AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034555",
            "telephone_number": "512-887-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "YASCHIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.