KELLY SUE GILMER LPC
NPI 1629689237
Counselor - Professional in Longview, TX

Active since August 17, 2020PECOS EnrolledAccepts Medicare Assignment
201 E LOOP 281, LONGVIEW, TX 75605(903) 758-2610(903) 758-7081 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Jul 6, 2026, May 30, 2026 and 2 more (5 updates tracked since 2020).

About Kelly Sue Gilmer Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SUE GILMER LPC (NPI 1629689237) is an individual professional provider in Longview, Texas, licensed in Texas (79423) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains 17 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629689237
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY SUE GILMERCredential: LPC
Location Address201 E LOOP 281Longview, TX 75605-7911
Mailing Address1107 E Marshall AveLongview, TX 75601-5602 · (903) 758-2610 · Fax (903) 758-7081
Fax(903) 758-7081
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 17, 2020
Last NPPES UpdateJuly 16, 20265 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1629689237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in TX · 79423✔ Licensed in SC · 8779
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 79423 (TX)
201 E LOOP 281, Longview, TX 75605

Other Names 1

Other Name (5)Kelly Sue Moser Lpc

Secondary Practice Locations 17

Location 11711 S Henderson Blvd Ste 400Kilgore, TX 75662-3592 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 21761 W Loop 281Longview, TX 75604-2734 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 3705 E Marshall Ave Ste 3000Longview, TX 75601-5661 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 4802 Medical Cir Ste 101Longview, TX 75605-5169 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 5575 W State Highway 243Canton, TX 75103-2113 · Phone (903) 567-4197 · Fax (903) 535-7384
Location 6400 N Eastman RdLongview, TX 75601-6910 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 75745 Judson RdLongview, TX 75605-1084 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 82131 S Mobberly AveLongview, TX 75602-3563 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 91001 W Fairmont StLongview, TX 75604-3511 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 101107 E Marshall AveLongview, TX 75601-5602 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 11425 N Fredonia StLongview, TX 75601-6464 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 12602 Titus St Ste 130Gilmer, TX 75644-1780 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 136901 State Highway 19 SAthens, TX 75751-9119 · Phone (903) 675-8541 · Fax (903) 535-7384
Location 14825 Medical Dr Ste ATyler, TX 75701-2143 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 151174 E Lennon Dr Ste CEmory, TX 75440-3255 · Phone (903) 473-2671 · Fax (903) 535-7384
Location 16703 W Patten StMineola, TX 75773-1541 · Phone (903) 569-5409 · Fax (903) 535-7384
Location 172323 W Front StTyler, TX 75702-7704 · Phone (903) 535-7458

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Sue Gilmer Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254774714
PECOS Enrollment IDI20240704000411
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kelly Gilmer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
201 E LOOP 281
Longview, TX 75605
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
210 W PHILLIPS ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Andrews Center
  • 71 clinicians in this Medicare group
Mental Health
16075 FM 849
Lindale, TX 75771
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Community/Behavioral Health
1297 PROFESSIONAL DRIVE, STE 101
Myrtle Beach, SC 29577
  • Reassigned Medicare billing, South Carolina enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
201 E LOOP 281
LONGVIEW, TX 75605
Counselor (Professional)
201 E LOOP 281
LONGVIEW, TX 75605
Social Worker (Clinical)
201 E LOOP 281
LONGVIEW, TX 75605
Counselor (Professional)
201 E LOOP 281
LONGVIEW, TX 75605
Registered Nurse (Case Management)
201 E LOOP 281
LONGVIEW, TX 75605
Clinic/Center (Federally Qualified Health Center (FQHC))
201 E LOOP 281
LONGVIEW, TX 75605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Gilmer's NPI number?

The NPI number for Kelly Gilmer is 1629689237. It was assigned to this individual provider in the NPPES registry on August 17, 2020. The provider is also known as Kelly Sue Moser Lpc.

Where is Kelly Gilmer located?

Kelly Gilmer practices at 201 E Loop 281, Longview, TX 75605. The listed phone number is (903) 758-2610.

What is Kelly Gilmer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelly Gilmer enrolled in Medicare?

Yes. Kelly Gilmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Gilmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gilmer reassigns Medicare benefits to 4 organizations: Longview Wellness Center Inc (Longview, TX), Andrews Center/ Phillips (Tyler, TX), Better Counseling LLC (Lindale, TX) and Coastal Samaritan Counseling Center (Myrtle Beach, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Gilmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Gilmer accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare and Molina Healthcare and 1 other insurer list Kelly Gilmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Gilmer was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.