NPIMap

Organization Active NPI

Zoetry Counseling, PLLC

Doing business as Zoetry Counseling Group

  • Professional Counselor
  • Southlake, TX
National Provider Identifier
1821687880
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ZOETRY COUNSELING, PLLC
Doing business as
Zoetry Counseling Group
Practice address
2435 E Southlake Blvd Ste 220
Southlake, TX 76092-6678
Phone
(817) 228-1668
Fax
(469) 776-0669
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Dr. Kelly Lynn Cheatham, LPC-SNPI 1609183094
Title
President
Phone
(817) 228-1668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

2435 E Southlake Blvd Ste 220
Southlake, TX 76092-6678

Mailing address

2535 E Southlake Blvd Ste 220
Southlake, TX 76092-6629
Phone (817) 228-1668

Other practice location 1

4300 MacArthur Ave Ste 260
Dallas, TX 75209-6628
Phone (817) 228-1668

Other practice location 2

6021 Morriss Rd Ste 113
Flower Mound, TX 75028-3764
Phone (214) 613-6426

Other names 1

  • Zoetry Counseling Group Doing business as

National Provider Directory

National Provider Directory

Locations

8117 Preston Rd
Ste 682
Dallas, TX 75225
Phone (214) 817-0877

4300 MacArthur Ave
Ste 215
Dallas, TX 75209
Phone (817) 228-1668

6021 Morriss Rd
Ste 113
Flower Mound, TX 75028
Phone (214) 613-6426

541 Silicon Dr
Ste 101
Southlake, TX 76092
Phone (817) 228-1668

2435 E Southlake Blvd
Ste 220
Southlake, TX 76092
Phone (817) 228-1668

2535 E Southlake Blvd
Ste 220
Southlake, TX 76092
Phone (817) 228-1668

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1821687880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 E SOUTHLAKE BLVD STE 220",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926629",
            "telephone_number": "817-228-1668",
            "fax_number": "469-776-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 E SOUTHLAKE BLVD STE 220",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926678",
            "telephone_number": "817-228-1668",
            "fax_number": "469-776-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 MacArthur Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752096628",
            "country_code": "US",
            "telephone_number": "817-228-1668",
            "fax_number": "469-776-0669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6021 Morriss Rd Ste 113",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750283764",
            "country_code": "US",
            "telephone_number": "214-613-6426",
            "fax_number": "469-776-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZOETRY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-228-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zoetry Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.