Chenetta Kirksey, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

88248 Issued in TX

Practice address

1401 Coleto Creek TRL
Prosper, TX 75078-1546

Phone

(773) 818-7337

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• BSW Geode Clinicians of Texas PLLC

  dba Geode Health 2

  • Psychiatry Physician
  • Allen, TX
  • NPI 1790482834
  NPD

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1235620972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11816 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752448011",
            "telephone_number": "773-818-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 COLETO CREEK TRL",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781546",
            "telephone_number": "773-818-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKSEY",
        "first_name": "CHENETTA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Kids, RN
• Myongji Kim
• Bethany Erica Kimmey
• Dickson Kimuchu
• Kiom, LLC
• Alyssa Knowles, BCBA
• Caroline Ko
• Kimberly Kois, LMT
• Wade Allen Konvalin, O.D.
• Kroger Texas LP (Kroger Pharmacy #573)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.