NPIMap

Organization Active NPI

Enterhealth Outpatient Services

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1164787669
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RN 691134 Issued in TX
Legal business name
ENTERHEALTH OUTPATIENT SERVICES
Practice address
8222 Douglas Ave
Suite375
Dallas, TX 75225-5923
Phone
(214) 905-5090
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Mr. David M Kniffen
Title
President
Phone
(214) 905-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X RN 691134 TX Primary

Addresses

Primary practice location

8222 Douglas Ave
Suite375
Dallas, TX 75225-5923

Mailing address

8222 Douglas Ave
Suite 375
Dallas, TX 75225-5923
Phone (214) 905-5090

National Provider Directory

National Provider Directory
Tax ID family
Enterhealth Outpatient Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1164787669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE",
            "address_2": "SUITE 375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255923",
            "telephone_number": "214-905-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 DOUGLAS AVE",
            "address_2": "SUITE375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255923",
            "telephone_number": "214-905-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERHEALTH OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "KNIFFEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-905-5090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "RN 691134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.