Kelly K Carson
Case Manager/Care Coordinator in Houston, TX. Individual provider (NPI-1).
NPI number1013733112
StatusActive
Last updated in NPPESNov 23, 2024
Details
- NPI
- 1013733112
- Entity type
- Individual (NPI-1)
- Name
- Kelly K Carson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2024
- Certification date
- Nov 23, 2024
- Last updated
- Nov 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | TX | Yes |
| 101YM0800X | Counselor, Mental Health | – | TX |
Practice location
8300 Cypress Creek Pkwy Ste 205Houston, TX 77070-5643
Phone 713-445-6059
Mailing address
16442 Havenhurst DrHouston, TX 77059-5307
Phone 713-445-6059
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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