Individual provider Active NPI

Kelly Kristine McCoy, LPC

  • Professional Counselor
  • Denton, TX
National Provider Identifier
1881954899
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68618 Issued in TX
Practice address
303 N Carroll Blvd Ste 114
Denton, TX 76201-9075
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 68618 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 68618 TX
Professional Counselor 101YP2500X 68618 TX Primary
Counselor 101Y00000X 68618 TX

Addresses

Primary practice location

303 N Carroll Blvd Ste 114
Denton, TX 76201-9075

Mailing address

303 N Carroll Blvd Ste 114
Denton, TX 76201-9075
Phone (844) 824-8775

Other identifiers 1

IdentifierTypeStateIssuer
148686201MedicaidTX

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
68618TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Addiction (Substance Use Disorder) CurrentSince Sep 28, 2025 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Oct 1, 2024 Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Locations

303 N Carroll Blvd
Ste 114
Denton, TX 76201
Phone (443) 938-4844

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1881954899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CARROLL BLVD STE 114",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019075",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CARROLL BLVD STE 114",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019075",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KELLY",
        "middle_name": "KRISTINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68618",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "68618",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68618",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "68618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148686201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.