KELLY S GILMER (LPC) – Professional Counselor, NPI 1629689237

KELLY S GILMER (LPC) is a healthcare provider. based in Athens, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 8779 (SC). The NPI Number for KELLY S GILMER (LPC) is 1629689237

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY S GILMER (LPC)
NPI
1629689237
Phone
(903) 675-8541
Address
6901 State Highway 19 S
Enumeration Date
17 August 2020
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035971351
Graduation Year
2016 (10 years ago)
PAC ID
1254774714
Group Practice PAC ID
9739170770
Professional Enrollment ID
I20240704000411
Address ID
TX757027704TY2323XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for KELLY S GILMER (LPC)

  • 6901 State Highway 19 S

    Athens, TX 757519119

    Phone: (903) 675-8541

    Fax: (903) 535-7384

    Type: Location

  • 575 W State Highway 243

    Canton, TX 751032113

    Phone: (903) 567-4197

    Fax: (903) 535-7384

    Type: Location

  • 1174 E Lennon Dr Ste C

    Emory, TX 754403255

    Phone: (903) 473-2671

    Fax: (903) 535-7384

    Type: Location

  • 703 W Patten St

    Mineola, TX 757731541

    Phone: (903) 569-5409

    Fax: (903) 535-7384

    Type: Location

  • 2323 W FRONT ST

    TYLER, TX 757027747

    Phone: (903) 535-7355

    Fax: (843) 448-9875

    Type: Mailing

  • 8915 HARRY HINES BLVD

    DALLAS, TX 752351717

    Phone: (214) 351-3490

    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: 2024-07-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240212002995IMental Health CounselorSCTBD
I20240704000411IMental 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 75751)

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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: 9739170770View full group profile
NameSpecialtyState
Mental Health CounselorTX
P S Y C H I A T R YTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Certified Clinical Nurse Specialist (Cns)TX
P S Y C H I A T R YTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I cross-check KELLY S GILMER (LPC) using NPI 1629689237?
NPI 1629689237 belongs to KELLY S GILMER (LPC); compare other details if you need extra assurance.
Is KELLY S GILMER (LPC) still an active registrant?
KELLY S GILMER (LPC) carries an active NPI according to the public dataset.
What clinical focus is listed for KELLY S GILMER (LPC)?
At a glance, KELLY S GILMER (LPC) is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
Where in Texas is KELLY S GILMER (LPC) registered?
Use Athens, Texas as the headline location for KELLY S GILMER (LPC) here.
When was this NPI issued?
Enumeration for KELLY S GILMER (LPC) is noted as August 17, 2020 where the registry provides it.

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