Active NPI
Kassandra E Tirres
- Mental Health Counselor
- El Paso, TX
National Provider Identifier
1124652169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 79470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Paso Counseling Center of Expressive Arts PC | Current | 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.
-
dba Counseling Center of Expressive Arts
- Professional Counselor
- El Paso, TX
- NPI 1205978319
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.