Marilyn Kissinger, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

32601 Issued in TX

Practice address

6370 LBJ Fwy
Suite 276
Dallas, TX 75240-6459

Phone

(972) 788-9201

Fax

(972) 788-0061

NPI assigned

Feb 5, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Kansas City University of Physicians and Surgeons, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas Counseling and Psychotherapy PLLCGroup PAC ID 7517197858, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Dallas Counseling & Psychotherapy PLLC

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1538396940
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1245418037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 LBJ FWY",
            "address_2": "SUITE 276",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406459",
            "telephone_number": "972-788-9201",
            "fax_number": "972-788-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 LBJ FWY",
            "address_2": "SUITE 276",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406459",
            "telephone_number": "972-788-9201",
            "fax_number": "972-788-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSINGER",
        "first_name": "MARILYN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "32601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktoriya S Kislyak, MSN, APRN, FNP-BC
• Edgar Erold Kiss, M.D.
• Emmy L. Kiss, MD
• Kissable Dental PLLC
• Anne C Kissack, LPC
• Carl J Kissling, MD
• Alicia Kiszka, M.D.
• Ellen Elizabeth Kitchell, MD
• Benjamin Lee Kitchens, MD
• Kristen C Kitchens, LCSW-S

• Counseling Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.