Individual provider Active NPI

Kenya Nelson, LPC-INTERN

  • Counselor
  • Katy, TX
National Provider Identifier
1992122444
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
70440 Issued in TX
Practice address
26735 Henson Falls Dr
Katy, TX 77494-5121
Phone
(281) 995-0324
NPI assigned
Mar 22, 2014
Last updated
Mar 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 70440 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16290 TX

Addresses

Primary practice location

26735 Henson Falls Dr
Katy, TX 77494-5121

Mailing address

26735 Henson Falls Dr
Katy, TX 77494-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16290TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395446400000",
    "number": "1992122444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26735 HENSON FALLS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26735 HENSON FALLS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945121",
            "telephone_number": "281-995-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KENYA",
        "credential": "LPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "70440",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.