Kairos Counseling and Consultation, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KAIROS COUNSELING AND CONSULTATION, PLLC

Practice address

3613 Williams Dr Ste 302
Georgetown, TX 78628-1369

Phone

(512) 843-2584

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Candi Gadison, LCSWNPI 1265735302

Title

Owner

Phone

(512) 843-2584

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candi L. Gadison, LCSW

  • Clinical Social Worker
  • Georgetown, TX
  • NPI 1265735302
  NPD Authorized official

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1801453840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 W CLARK ST",
            "city": "BARTLETT",
            "state": "TX",
            "postal_code": "765114076",
            "telephone_number": "512-843-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR STE 302",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281369",
            "telephone_number": "512-843-2584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "936 W Clark St",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TX",
            "postal_code": "765114076",
            "country_code": "US",
            "telephone_number": "512-843-2584",
            "fax_number": "737-249-9272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAIROS COUNSELING AND CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "GADISON",
        "authorized_official_first_name": "CANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-843-2584",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NONE",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7372499272",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "936 W Clark St",
            "city": "Bartlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765114076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Scott Jordan, PA-C
• Iman Josey
• Anjenette Juracek, MSN, PMHNP-BC
• Shiri Kaczur, LPC
• Betsy Mary Kadapuram, D.O.
• Kalico Partners LLC
• Allison Kallman
• Jane N Kalu, NURSE PRACTITIONER
• Ashton Kannenberg, PA-C
• Kendall Marie Kannmacher

• Mental Health Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.