Active NPI
Kenneth Bernard Presley Sr., LMFT
- Marriage & Family Therapist
- Irving, TX
National Provider Identifier
1225223787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201271
- Practice address
- 2101 W John Carpenter Fwy
Irving, TX 75063-3228 - Phone
- (866) 900-5021
- NPI assigned
- Sep 7, 2007
- Last updated
- Aug 21, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201271 | TX | Primary |
Addresses
Primary practice location
2101 W John Carpenter Fwy
Irving, TX 75063-3228
Mailing address
4009 Silver Meadow LN
Grand Prairie, TX 75052-7153
Phone (972) 642-8488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201271 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1225223787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4009 SILVER MEADOW LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750527153",
"telephone_number": "972-642-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 W JOHN CARPENTER FWY",
"city": "IRVING",
"state": "TX",
"postal_code": "750633228",
"telephone_number": "866-900-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESLEY",
"first_name": "KENNETH",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
- Premier Physicians of North Texas, PLLC
- Premise Health of Texas Medical PA (FedEx Health Center Irving)
- Premise Health of Texas Medical PA (Allstate Irving)
- Premise Health of Texas Medical PA (Live Well at Citi - Irving/Dallas)
- Premise Health of Texas Medical, P.a (Live Well at Citi Medical Clinic)
- Gail Press
- Prestige Family Medicine PA
- Preston Medical Solutions LLC
- Mackenzie Elizabeth Preston, CF-SLP
- Jamienne Young Price, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.