Imran Kirkland El, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19766 Issued in AZ

Practice address

610 E Roosevelt St Unit 249
Phoenix, AZ 85004-1985

Phone

(623) 225-1890

NPI assigned

Apr 20, 2021

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Valle del Sol, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831344035
  Medicare reassignment NPD
• Valle del Sol, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1023311743
  NPD
• Valle del Sol, Inc.

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1174345839
  NPD

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1124609144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E ROOSEVELT ST UNIT 249",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041985",
            "telephone_number": "623-225-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E ROOSEVELT ST UNIT 249",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041985",
            "telephone_number": "623-225-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND EL",
        "first_name": "IMRAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "19766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Kirk
• Sandra Miriam Kirkby, FNP-BC
• Nikia Kirkendoll, PSYD
• Gary Edward Kirkilas II, D.O.
• Mary Kirkilas, D.O., M.S.
• Gerri Kirkland, RNC, CDCES
• Steve Emerson Kirkland III, PHARMD
• Shalene Michele Kirkley, PHD
• Ashton Kirkman, BSN RN
• Scott Eric Kirkorsky, M.D.

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.