Kris T Kirby, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017129 Issued in MI

Practice address

1507 Waterford Pkwy
Saint Johns, MI 48879-9630

Phone

(989) 593-0211

Fax

(989) 227-5415

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• K 13 Physical Therapy & Sports Medicine PC

  • Physical Therapist
  • Saint Johns, MI
  • NPI 1861405581
  NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1306499900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-593-0211",
            "fax_number": "989-227-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 WATERFORD PKWY",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799630",
            "telephone_number": "989-593-0211",
            "fax_number": "989-227-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KRIS",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "6401017129",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johns S. Mac Donald, MD PC
• Monica S Johnson, MD
• Molly Jordan
• K 13 Physical Therapy & Sports Medicine PC
• Justin Michael Keeler, PHARM.D.
• Kennedy Renee Klein, DPT
• Koenigsknecht Dentistry PLLC
• Amber Koenigsknecht, PHARM.D.
• Barbara Ann Koenigsknecht, PT
• Don Koenigsknecht, DDS

• Professional Counselor in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.