Active NPI
Kristi Michelle Kirk, LPC
- Professional Counselor
- Waco, TX
National Provider Identifier
1447329420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17187
- Practice address
- 201 Old Hewitt Rd Ste C
Waco, TX 76712-3548 - Phone
- (254) 752-1183
- Fax
- (254) 756-5092
- NPI assigned
- Nov 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17187 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 17187 | TX |
Addresses
Primary practice location
201 Old Hewitt Rd Ste C
Waco, TX 76712-3548
Mailing address
201 Old Hewitt Rd Ste C
Waco, TX 76712-3548
Phone (254) 752-1183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168924201 | Medicaid | TX |
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 |
|---|---|---|---|
| 17187 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1447329420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 OLD HEWITT RD STE C",
"city": "WACO",
"state": "TX",
"postal_code": "767123548",
"telephone_number": "254-752-1183",
"fax_number": "254-756-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 OLD HEWITT RD STE C",
"city": "WACO",
"state": "TX",
"postal_code": "767123548",
"telephone_number": "254-752-1183",
"fax_number": "254-756-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "KRISTI",
"middle_name": "MICHELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17187",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "17187",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168924201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.