Keri Baxter Kinsey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55453 Issued in TX

Practice address

3801 Tarragona LN
Austin, TX 78727-6052

Phone

(210) 601-1927

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

Yes

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

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

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TWMH LLCGroup PAC ID 3476998642, 3 clinicians

Moonstone Counseling PLLCGroup PAC ID 6901224245, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keri.kinsey.1@29687.direct.athenahealth.com
• Direct secure messaging: liz.brown.1@29687.direct.athenahealth.com

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.

• Moonstone Counseling PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1124655675
  Medicare reassignment Care Compare group NPD
• TWMH LLC

  • Mental Health Counselor
  • Abilene, TX
  • NPI 1518650720
  Medicare reassignment Care Compare group NPD
• Dr Tim Martin MD PLLC

  • Family Medicine Physician
  • Abilene, TX
  • NPI 1578932109
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1750900262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 TARRAGONA LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276052",
            "telephone_number": "210-601-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 TARRAGONA LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276052",
            "telephone_number": "210-601-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "KERI",
        "middle_name": "BAXTER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn King Kinney, LPC
• Janet Kinney, PH.D.
• Maura Kinney, LCSW
• Michael Kinoti, PA-C
• James Hanford Kinser III, FNP-C
• Michael Kinsey
• Yaschia Kinsey, LPC
• Olivia C Kinsinger, MD
• Janine Kinzie, RN
• Jennifer Kipp, LAC

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.