Kylie Izienicki, LPC-ASSOCIATE 100532

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

100532 Issued in TX

Practice address

4545 Bellaire Dr S Ste 6
Fort Worth, TX 76109-1811

Phone

(817) 657-1115

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Counseling by Penny

  • Professional Counselor
  • Granbury, TX
  • NPI 1053723551
  NPD (past)

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1831890433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 LOGIE LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761345479",
            "telephone_number": "720-988-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 BELLAIRE DR S STE 6",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091811",
            "telephone_number": "817-657-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZIENICKI",
        "first_name": "KYLIE",
        "credential": "LPC-ASSOCIATE 100532",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "100532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikponmwosa Iyamu, M.D.
• Svaksha Iyengar, MD
• Chitra Muthusamy Iyer, M.D
• Sandhya Iyer, M.D.
• Sarah Esele Iyoha, NP
• Rebecca Schearer Izquierdo, FNP
• Cody Jon Izydor, DPM
• J & J Home Health Agency Inc.,
• J C Medical Enterprises
• J Mark Bayouth MD PA

• Professional Counselor in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.