Individual provider Active NPI

Kelsi Gerwell

  • Clinical Psychologist
  • San Antonio, TX
National Provider Identifier
1891115333
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38423 Issued in TX
Practice address
4243 E Piedras Dr Ste 235
San Antonio, TX 78228-1421
Phone
(210) 233-6556
NPI assigned
Apr 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 38423 TX Primary

Addresses

Primary practice location

4243 E Piedras Dr Ste 235
San Antonio, TX 78228-1421

Mailing address

4243 E Piedras Dr Ste 235
San Antonio, TX 78228-1421
Phone (210) 233-6556

Other practice location 1

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone (210) 567-5447

Other practice location 2

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 965-0381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38423TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsi Gerwell PHD PLLC Clinical CurrentSince Aug 6, 2023 Accepting new patients

Locations

130 Lewis St
San Antonio, TX 78212
Phone (210) 829-7471

4243 E Piedras Dr
Ste 235
San Antonio, TX 78228
Phone (210) 233-6556

Organizations & group practices 1

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": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1891115333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4243 E PIEDRAS DR STE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281421",
            "telephone_number": "210-233-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 E PIEDRAS DR STE 235",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281421",
            "telephone_number": "210-233-6556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilford Hall Loop",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "210-567-5447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-965-0381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERWELL",
        "first_name": "KELSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.