KELLY REESE – Professional Counselor, NPI 1477227767

KELLY REESE is a healthcare provider. based in San antonio, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 85609 (TX). The NPI Number for KELLY REESE is 1477227767

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLY REESE
NPI
1477227767
Phone
(102) 611-0602
Address
6800 PARK TEN BLVD STE 200S
Enumeration Date
2 August 2021
Last Update Date
18 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4322630027
Graduation Year
2020 (6 years ago)
PAC ID
7113363243
Group Practice PAC ID
3971587502
Professional Enrollment ID
I20240312002572
Address ID
TX797204122BI1501XPLXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for KELLY REESE

  • 6800 PARK TEN BLVD STE 200S

    SAN ANTONIO, TX 782134293

    Phone: (102) 611-0602

    Fax: (210) 261-1821

    Type: Mailing

  • 315 N SAN SABA STE 1003

    SAN ANTONIO, TX 782073100

    Phone: (210) 261-3237

    Type: Location

  • 4426 HARLANWOOD DR APT 129

    FORT WORTH, TX 761091924

    Phone: (817) 631-3217

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240312002572IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78213)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971587502View full group profile
NameSpecialtyState
-TX
Mental Health CounselorTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Physician AssistantTX
Mental Health CounselorTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

What federal number belongs to KELLY REESE?
The federal identifier for KELLY REESE is NPI 1477227767.
Is KELLY REESE active in the national directory?
KELLY REESE's public NPI profile is in an active state.
What field does KELLY REESE work in?
You can think of KELLY REESE as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY REESE?
The page summarizes San Antonio, Texas for KELLY REESE; expand the address list for detail.
How can I contact KELLY REESE?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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