Nicholas Dominic Kirk

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT122998 Issued in CA

Practice address

4850 136TH Ave
Hamilton, MI 49419-9604

Phone

(630) 890-4315

NPI assigned

Mar 9, 2016

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Resolve Mental Health LLC

  • Marriage & Family Therapist
  • Portland, OR
  • NPI 1730049479
  NPD Authorized official
• East Bay Agency for Children

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1184817090
  NPD (past)

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1104287721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 136TH AVE",
            "city": "HAMILTON",
            "state": "MI",
            "postal_code": "494199604",
            "telephone_number": "630-890-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 136TH AVE",
            "city": "HAMILTON",
            "state": "MI",
            "postal_code": "494199604",
            "telephone_number": "630-890-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "NICHOLAS",
        "middle_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-09",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT122998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Jo Homkes, PTA
• Andrew Norman Johnson, PHARMD
• Bradley Lynn Kerber, P.T.A.
• Lindsey Joy Kerber, PTA
• Cailey Joy Kiekintveld, M.A, CF -SLP
• Kathryn Mahaffie, PT, DPT
• McAlpine-Solis PLLC (Hamilton Chiropractic and Physical Rehab)
• Michelle McClellan
• Don Ira Mead, MSW
• Michigan Medical PC

• Marriage & Family Therapist in Hamilton, MI
• Providers in Hamilton, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.