Individual provider Active NPI

Taylor Renee Klement, MD, NCC, LPC

  • Professional Counselor
  • Gainesville, TX
National Provider Identifier
1962150003
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83195 Issued in TX
Practice address
110 E Pecan St Ste BC
Gainesville, TX 76240-4812
Phone
(940) 301-2770
NPI assigned
Mar 17, 2022
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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 83195 TX
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Professional Counselor 101YP2500X 83195 TX Primary

Addresses

Primary practice location

110 E Pecan St Ste BC
Gainesville, TX 76240-4812

Mailing address

PO Box 1179
Gainesville, TX 76241-1179
Phone (940) 301-2770

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83195TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Through the Woods Counseling of North Texas Mental Health CurrentSince Jan 14, 2024 Accepting new patients
Through the Woods Counseling of North Texas Mental Health CurrentSince Jan 14, 2024 Accepting new patients
Child and Family Guidance Center of Texoma Mental Health PastSince Mar 1, 2022 Accepting new patients

Locations

110 E Pecan St
Ste Bc
Gainesville, TX 76240
Phone (940) 301-2770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1962150003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762411179",
            "telephone_number": "940-301-2770",
            "fax_number": "940-539-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E PECAN ST STE BC",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404812",
            "telephone_number": "940-301-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMENT",
        "first_name": "TAYLOR",
        "middle_name": "RENEE",
        "credential": "MD, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83195",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.