Active NPI
Kira Marie Arrillaga, LCDCI
- Addiction (Substance Use Disorder) Counselor
- Canyon Lake, TX
National Provider Identifier
1255912879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 52422
- Practice address
- 26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957 - Phone
- (816) 888-1521
- NPI assigned
- Apr 15, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 52422 | TX | Primary |
Addresses
Primary practice location
26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957
Mailing address
26229 N Cranes Mill Rd
Canyon Lake, TX 78133-1957
Phone (816) 888-1521
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 |
|---|---|---|---|
| 52422 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1255912879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26229 N CRANES MILL RD",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781331957",
"telephone_number": "816-888-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26229 N CRANES MILL RD",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781331957",
"telephone_number": "816-888-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARRILLAGA",
"first_name": "KIRA",
"middle_name": "MARIE",
"credential": "LCDCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "52422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyon Lake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.