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

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

60678 Issued in TX

Practice address

1050 Cardinal Ridge Rd
Burleson, TX 76028-4960

Phone

(817) 581-4730

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 18, 2024 through Jan 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• On Deck Counseling, PLLC

  • Professional Counselor
  • Burleson, TX
  • NPI 1174756795
  NPD (past) Authorized official

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1184889149",
    "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": {
        "last_name": "KUYKENDALL",
        "first_name": "IRIS",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S., L.P.C., C.R.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60678",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "TX",
            "license": "00056671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "600607151",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Krayer, FNP-BC
• Kristen Menzel, LPC
• Kroger Texas L P
• Kuku Nest
• Rohit Kumar, M.D
• Laboratory Corporation of America
• Ladybug Home Care
• Lalitha Jagadish, M.D., P.a
• Dan Lam, OD
• Ellie Elizabeth Lambert, LPC

• 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 Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.