Active NPI
Tyniesha Kirkendoll
- Professional Counselor
- Frisco, TX
National Provider Identifier
1013461466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69836
- Practice address
- 2770 Main St
142
Frisco, TX 75033-4302 - Phone
- (972) 704-1372
- NPI assigned
- Aug 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69836 | TX | Primary |
Addresses
Primary practice location
2770 Main St
142
Frisco, TX 75033-4302
Mailing address
9809 Smokefeather LN
Dallas, TX 75243-2033
Phone (940) 231-7954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69836 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471132800000",
"number": "1013461466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9809 SMOKEFEATHER LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752432033",
"telephone_number": "940-231-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 MAIN ST",
"address_2": "142",
"city": "FRISCO",
"state": "TX",
"postal_code": "750334302",
"telephone_number": "972-704-1372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKENDOLL",
"first_name": "TYNIESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-14",
"last_updated": "2016-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.