Organization Active NPI

Kezia Drake Counseling

  • Professional Counselor
  • Waxahachie, TX
National Provider Identifier
1902488083
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KEZIA DRAKE COUNSELING
Practice address
120 Marigold LN
Waxahachie, TX 75165-2659
Phone
(903) 872-4442
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Kezia Drake, LPCNPI 1336756626
Title
LPC
Phone
(903) 872-4442

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

120 Marigold LN
Waxahachie, TX 75165-2659

Mailing address

120 Marigold LN
Waxahachie, TX 75165-2659
Phone (903) 872-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240912000392 TX Part B Supplier - Clinic/Group Practice 4284174665 Receives reassigned benefits from 1 practitioner
Practice locations: Waxahachie, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1902488083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARIGOLD LN",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652659",
            "telephone_number": "903-872-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MARIGOLD LN",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652659",
            "telephone_number": "903-872-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEZIA DRAKE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "KEZIA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "903-872-4442",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.