MRS. KELLY C PEMBERTON MED, LPC
NPI 1811206691
Counselor - Professional in Richardson, TX

Q: What is Kelly Pemberton's NPI number?

The NPI number for Kelly Pemberton is 1811206691. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Q: What is Kelly Pemberton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Pemberton was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since September 28, 2010

2005 COLUMBIA DR, RICHARDSON, TX 75081(214) 683-4805 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kelly C Pemberton Med, Lpc NPPES

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

MRS. KELLY C PEMBERTON MED, LPC (NPI 1811206691) is an individual professional provider in Richardson, Texas, licensed in Texas (62609) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1811206691

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KELLY C PEMBERTONCredential: MED, LPC

Location Address2005 COLUMBIA DRRichardson, TX 75081-3206

Mailing Address2005 Columbia DrRichardson, TX 75081-3206 · (214) 683-4805

Phone(214) 683-4805

Sole ProprietorYes

Enumeration DateSeptember 28, 2010

Last NPPES UpdateJuly 19, 2012

✔ NPI 1811206691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 62609

Also ListedCounselorTaxonomy 101Y00000X · License 62609 (TX)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 62609 (TX)

2005 COLUMBIA DR, Richardson, TX 75081

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

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 Pemberton's NPI number?

The NPI number for Kelly Pemberton is 1811206691. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Kelly Pemberton located?

Kelly Pemberton practices at 2005 Columbia Dr, Richardson, TX 75081. The listed phone number is (214) 683-4805.

What is Kelly Pemberton's specialty?

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

What insurance does Kelly Pemberton accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Kelly Pemberton 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 Pemberton was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.