Individual provider Active NPI

Kassandra E Tirres

  • Mental Health Counselor
  • El Paso, TX
National Provider Identifier
1124652169
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79470 Issued in TX
Practice address
1626 Medical Center Dr FL 5
El Paso, TX 79902-5010
Phone
(915) 782-4023
NPI assigned
Feb 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79470 TX Primary

Addresses

Primary practice location

1626 Medical Center Dr FL 5
El Paso, TX 79902-5010

Mailing address

1626 Medical Center Dr FL 5
El Paso, TX 79902-5010
Phone (915) 782-4023

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktirres@aliviane.org Direct ALIVIANE, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240123002130 TX Practitioner - Mental Health Counselor 7214389519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Counseling Center of Expressive Arts PC CurrentSince Jan 1, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1124652169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MEDICAL CENTER DR FL 5",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025010",
            "telephone_number": "915-782-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 MEDICAL CENTER DR FL 5",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025010",
            "telephone_number": "915-782-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRRES",
        "first_name": "KASSANDRA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2023-11-27",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktirres@aliviane.org",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "ALIVIANE, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1626 Medical Center Dr Fl 5",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799025010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.