Active NPI
Kisha Anderson, M.S., LPC-I
- Professional Counselor
- Frisco, TX
National Provider Identifier
1306386446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76284
- Practice address
- 4645 Wyndham LN
Ste 140
Frisco, TX 75033-0004 - Phone
- (972) 259-0109
- Fax
- (972) 805-9399
- NPI assigned
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76284 | TX | Primary |
Addresses
Primary practice location
4645 Wyndham LN
Ste 140
Frisco, TX 75033-0004
Mailing address
4645 Wyndham LN
Ste 140
Frisco, TX 75033-0004
Phone (972) 259-0109
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76284 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1306386446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 WYNDHAM LN",
"address_2": "STE 140",
"city": "FRISCO",
"state": "TX",
"postal_code": "750330004",
"telephone_number": "972-259-0109",
"fax_number": "972-805-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 WYNDHAM LN",
"address_2": "STE 140",
"city": "FRISCO",
"state": "TX",
"postal_code": "750330004",
"telephone_number": "972-259-0109",
"fax_number": "972-805-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KISHA",
"credential": "M.S., LPC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.