Gerald D Kizerian, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S00483 Issued in TX

Practice address

5866 S Staples St
Ste 320
Corpus Christi, TX 78413-3700

Phone

(361) 991-4101

Fax

(361) 991-4102

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Coastal Bend Academic Physcians PA

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1487756359
  NPD (past)
• Mending Minds Counseling, PLLC

  • Mental Health Counselor
  • Corpus Christi, TX
  • NPI 1629769872
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1245348002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 S STAPLES ST",
            "address_2": "STE 320",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133785",
            "telephone_number": "361-991-4101",
            "fax_number": "361-991-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 S STAPLES ST",
            "address_2": "STE 320",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133700",
            "telephone_number": "361-991-4101",
            "fax_number": "361-991-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZERIAN",
        "first_name": "GERALD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "2968",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "002808",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S00483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095310101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "00S49J",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Kirsch, PA
• Blake James Kissane, DO
• Carly Kissinger
• Crystal Shay Kitchen, LPC
• Burton A Kittay, PHD.
• Klair Medical PLLC
• Samantha Klassen, LPC
• Jamie Diane Klemenhagen, MA, LMFT
• Danielle Marie Kleppe, MD
• Scott Kleppe, D.O.

• Clinical Social Worker in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.