Individual provider Active NPI

Kelli Elizabeth Halford, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Texas City, TX
National Provider Identifier
1962978676
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14430 Issued in TX
Practice address
7510 FM 1765
Texas City, TX 77591-3672
Phone
(409) 944-4328
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14430 TX Primary

Addresses

Primary practice location

7510 FM 1765
Texas City, TX 77591-3672

Mailing address

16414 Bougainvilla LN
Friendswood, TX 77546-3106
Phone (281) 627-3938

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
14430TXMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1962978676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16414 BOUGAINVILLA LN",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463106",
            "telephone_number": "281-627-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 FM 1765",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775913672",
            "telephone_number": "409-944-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALFORD",
        "first_name": "KELLI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.