Kyle Middleton

Primary specialty

CounselorTaxonomy code 101Y00000X

License

89623 Issued in TX

Practice address

1397 Coughran Rd
Pleasanton, TX 78064-4531

Phone

(210) 695-0568

NPI assigned

Jun 11, 2024

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TX

  Medicare reassignment NPD
• Family Wellness Services LLC

  • Community/Behavioral Health Agency
  • Pleasanton, TX
  • NPI 1154163954
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1891537676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 COUGHRAN RD",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 COUGHRAN RD",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644531",
            "telephone_number": "210-695-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "89623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie McPhail
• Jennifer Celine Wu Medina, RPT
• Melanie Elizabeth Meier, MA LPC
• Mercedes Iturralde Mendez
• Chelsea Dawn Meyer, RDH
• Laura P Mireles, P.A.
• Daniel Wilson Mitchell, DDS
• Ron Dwaine Mixon, O.D.
• Martha Alejandra Moreno, M.D.
• Frank Anthony Munoz, PTA

• Counselor in Pleasanton, TX
• Providers in Pleasanton, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.