Organization Active NPI

Kirk & Gordy Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Centerville, IA
National Provider Identifier
1255456315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KIRK & GORDY ASSOCIATES, LLC
Practice address
415 And a Half North Haynes
Centerville, IA 52544
Phone
(641) 856-2688
Fax
(641) 856-2690
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank Richard Kirk, LMHC
Title
Therapist
Phone
(641) 856-2688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

415 And a Half North Haynes
Centerville, IA 52544

Mailing address

415 And a Half North Haynes
Centerville, IA 52544
Phone (641) 856-2688

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255456315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AND A HALF NORTH HAYNES",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "52544",
            "telephone_number": "641-856-2688",
            "fax_number": "641-856-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AND A HALF NORTH HAYNES",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "52544",
            "telephone_number": "641-856-2688",
            "fax_number": "641-856-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK & GORDY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "641-856-2688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.