Individual provider Active NPI

Sirre Geppert, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Frisco, TX
National Provider Identifier
1093512410
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4280 Main St Ste 300
Frisco, TX 75033-3082
Phone
(972) 905-6574
Fax
(972) 423-8918
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X TX Primary

Addresses

Primary practice location

4280 Main St Ste 300
Frisco, TX 75033-3082

Mailing address

4280 Main St Ste 300
Frisco, TX 75033-3082
Phone (972) 905-6574

Other names 1

  • Sirre Radtke Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom of Speech Current Accepting new patients

Locations

4280 Main St
Ste 300
Frisco, TX 75033
Phone (972) 905-6574

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1093512410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333082",
            "telephone_number": "972-905-6574",
            "fax_number": "972-423-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 MAIN ST STE 300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750333082",
            "telephone_number": "972-905-6574",
            "fax_number": "972-423-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPPERT",
        "first_name": "SIRRE",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIRRE",
            "last_name": "RADTKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 25, 2025; 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.