Organization Active NPI

Kairos Counseling Center, LLC

  • Adult Mental Health Clinic/Center
  • Plano, TX
National Provider Identifier
1316535495
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KAIROS COUNSELING CENTER, LLC
Practice address
101 E Park Blvd Ste 600
Plano, TX 75074-8818
Phone
(469) 592-1349
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Akisha Simon, LPCNPI 1720321227
Title
Owner/Ceo
Phone
(972) 953-6585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

101 E Park Blvd Ste 600
Plano, TX 75074-8818

Mailing address

1806 Willow Creek CT
Garland, TX 75040-3968
Phone (972) 953-6585

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kairoscounseling.center Direct

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": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1316535495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 WILLOW CREEK CT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403968",
            "telephone_number": "972-953-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PARK BLVD STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748818",
            "telephone_number": "469-592-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "AKISHA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "972-953-6585",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kairoscounseling.center",
            "affiliation": "N",
            "endpointDescription": "Kairoscounseling.center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 E Park Blvd Ste 600",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750748818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.