Individual provider Active NPI

Kayla Marie Kirk, LMSW

  • Social Worker
  • Richardson, TX
National Provider Identifier
1083236848
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104764 Issued in TX
Practice address
2400 Lakeside Blvd Ste 620
Richardson, TX 75082-4341
Phone
(972) 503-6166
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 94789 CA
Social Worker 104100000X 104764 TX Primary

Addresses

Primary practice location

2400 Lakeside Blvd Ste 620
Richardson, TX 75082-4341

Mailing address

4661 Crossvine Dr
Prosper, TX 75078-0916
Phone (214) 695-9193

Other practice location 1

3312 Teasley Ln Ste 100
Denton, TX 76210-8311
Phone (940) 222-2399

Other practice location 2

530 Kings County Dr Ste 104106
Hanford, CA 93230-3579
Phone (559) 754-3128

Other practice location 3

5 Crosby St
New York, NY 10013-3154
Phone (972) 503-6166

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkirk@aspiranet.org Direct
Direct Messaging Address kayla.kirk@connectionswellnessgroup.com Direct

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

LicenseStateTypeSpecialty
94789CAMDSocial Worker
104764TXMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1083236848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 CROSSVINE DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750780916",
            "telephone_number": "214-695-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAKESIDE BLVD STE 620",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824341",
            "telephone_number": "972-503-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 Teasley Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762108311",
            "country_code": "US",
            "telephone_number": "940-222-2399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Kings County Dr Ste 104106",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303579",
            "country_code": "US",
            "telephone_number": "559-754-3128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Crosby St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100133154",
            "country_code": "US",
            "telephone_number": "972-503-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "94789",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "104764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkirk@aspiranet.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "530 Kings County Dr Ste 104106",
            "city": "Hanford",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932303579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla.kirk@connectionswellnessgroup.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2701 Shoreline Dr Ste 151",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762100176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 16, 2024; 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.