KYLIE NICOLE PHELPS (NPI# 1134676802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134676802 |
| Entity Type | Individual |
| Full Name | KYLIE NICOLE PHELPS |
| Other Name | KYLIE NICOLE MOORE |
| Credential | LPC |
| Practice Address |
305 Ferguson Rd Palestine TX 75803-6851 |
| Practice Telephone | 9037236136 |
| Practice Fax Number | 9035893443 |
| Mailing Telephone | 9037236136 |
| Mailing Fax Number | 9035893443 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 70475 | TX | Behavioral Health & Social Service Providers |
| Street Address |
305 FERGUSON RD |
| City | PALESTINE |
| State | TX |
| Zip Code | 75803-6851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124546940 | Mallory Paige Winkler | Specialist/Technologist | 7490 Fm 19, Palestine, TX 75803 | 2017-08-31 |
| 1295272540 | Janet M. Stulce | Counselor | 3662 Anderson Cr 359, Palestine, TX 75803 | 2017-01-25 |
| 1346444155 | Aimee Dawn Mcewen | Physical Therapy Assistant | 489 Anderson County Road 444, Palestine, TX 75803 | 2007-06-14 |
| 1578626263 | Steven Gary Brannan | Nurse Anesthetist, Certified Registered | 110 Anderson Cr 406, Palestine, TX 75803 | 2006-12-18 |
| 1205903424 | Jacqueline Denise Anderson | Contractor | 640 Acr 3593, Palestine, TX 75803 | 2006-11-30 |
| 1760552897 | Doctors Hearing Center LLC Xiv | Otolaryngology | 628 Commercial Street, Springfield, MO 75803 | 2006-11-08 |
| 1487734497 | Hicks Counseling Servs | Marriage & Family Therapist | 690 Ancord, #360, Palestine, TX 75803 | 2006-10-16 |
| 1508855016 | Senior Management Services of Palestine Inc | Skilled Nursing Facility | 2404 Hwy 155, Palestine, TX 75803 | 2005-10-18 |
| 1477758266 | Tammy Davidson | Occupational Therapy Assistant | 1816 Tile Factory Rd, Palestine, TX 75803 | 2007-06-20 |
| 1366498537 | Slp Palestine LLC | Skilled Nursing Facility | 1816 Tile Factory Rd, Palestine, TX 75803 | 2006-05-26 |
| Find all providers in zip 75803 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370587 | Carolyn Jean Johnson Fields | Counselor | 118 Bermuda Ln, Palestine, TX 75803-5435 | 2020-09-15 |
| 1255547477 | Willette M Rasure | Counselor | 129 Woodway St, Palestine, TX 75801-4773 | 2007-05-15 |
| 1871544734 | David W Stebbins | Counselor | 1111 W Lacy St, Palestine, TX 75801-8149 | 2006-05-15 |
| 1578941357 | Bridget Rose Kennedy | Counselor | 3320 S Loop 256, Palestine, TX 75801-6984 | 2015-05-12 |
| 1225323827 | Rebecca J Reynolds | Counselor | 3320 S Loop 256, Palestine, TX 75801-6984 | 2011-06-13 |
| 1326345778 | Kathy Sharp Keith | Counselor | 207 W Palestine Ave, Palestine, TX 75801-7531 | 2011-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558115 | Kenshara Marie Cravens | Counselor | 7825 Diamond Oak Dr, Texas City, TX 77591-2545 | 2020-11-08 |
| 1144821836 | Jonathan Rea | Counselor | 1408b Stonehollow Dr, Kingwood, TX 77339-2276 | 2020-11-08 |
| 1881295806 | Erin Hope Ellett | Counselor | 360 N West St, Bertram, TX 78605-4321 | 2020-11-05 |
| 1366043432 | Teri Hensley Marrow | Counselor | 4922 Cedar Spring Dr, Missouri City, TX 77459-4088 | 2020-11-05 |
| 1205437373 | Florida Nyanpinga | Counselor | 12243 Valley Lodge Pkwy, Humble, TX 77346-3667 | 2020-11-05 |
| 1750982898 | Michelle Rittenour | Counselor | 3150 Garrison Rd Apt 517, Corinth, TX 76210-1814 | 2020-11-05 |
| 1982205191 | Ashlee Tolle Bixby | Counselor | 1035 Dairy Ashford Rd # Set220, Houston, TX 77079-4608 | 2020-11-04 |
| 1043811441 | Lydia Neighbors | Counselor | 100 S. Texas St, Tioga, TX 76271 | 2020-11-03 |
| 1093316358 | Michelle Hill Peterson | Counselor | 311 Bluebell Dr, Glenn Heights, TX 75154-8760 | 2020-11-03 |
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.