Organization Active NPI

Kirkland Clinical Associates LLC

  • Professional Counselor
  • Richardson, TX
National Provider Identifier
1063650174
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11854 Issued in TX
Legal business name
KIRKLAND CLINICAL ASSOCIATES LLC
Practice address
331 Melrose Dr
Suite 130
Richardson, TX 75080-4405
Phone
(972) 231-2555
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel James Kirkland, MA, MS, LPC-S RPT-S
Title
Owner
Phone
(972) 231-2555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 11854 TX
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 11854 TX Primary

Addresses

Primary practice location

331 Melrose Dr
Suite 130
Richardson, TX 75080-4405

Mailing address

331 Melrose Dr
Suite 130
Richardson, TX 75080-4405
Phone (972) 231-2555

Other names 1

  • KCA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1063650174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "SUITE 130",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804405",
            "telephone_number": "972-231-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MELROSE DR",
            "address_2": "SUITE 130",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804405",
            "telephone_number": "972-231-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKLAND CLINICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-231-2555",
        "authorized_official_credential": "MA, MS, LPC-S RPT-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "11854",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.