On Deck Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

60678 Issued in TX

Legal business name

ON DECK COUNSELING, PLLC

Doing business as

On Deck Counseling

Practice address

1050 Cardinal Ridge Rd
Burleson, TX 76028-4960

Phone

(817) 581-4730

NPI assigned

Aug 30, 2009

Last updated

Sep 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Iris L Kuykendall, MS, LPC, CRCNPI 1184889149

Title

LPC

Phone

(817) 581-4730

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• On Deck Counseling Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iris L Kuykendall, M.S., L.P.C., C.R.C.

  • Professional Counselor
  • Burleson, TX
  • NPI 1184889149
  NPD (past) Authorized official

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284768000000",
    "number": "1174756795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CARDINAL RIDGE RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284960",
            "telephone_number": "817-581-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CARDINAL RIDGE RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284960",
            "telephone_number": "817-581-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON DECK COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-30",
        "last_updated": "2010-09-18",
        "status": "A",
        "authorized_official_last_name": "KUYKENDALL",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "817-581-4730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012007",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "600607151",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On Deck Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Burleson, TX
• Providers in Burleson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; 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.