Active NPI
Kirk Vanhousen, LCDC INTERN
- Addiction (Substance Use Disorder) Counselor
- Denton, TX
National Provider Identifier
1457997900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 41318
- Practice address
- 621 Londonderry LN
Denton, TX 76205-7792 - Phone
- (940) 483-0644
- Fax
- (940) 483-9337
- NPI assigned
- Nov 20, 2019
- Sex
- Male
- 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 | 41318 | TX | Primary |
Addresses
Primary practice location
621 Londonderry LN
Denton, TX 76205-7792
Mailing address
247 E Southwest Pkwy Apt 416
Lewisville, TX 75067-8728
Phone (817) 489-0026
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000 | Other | DO NOT HAVE |
Other names 1
- Kirk Vanhousen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | bwcofdenton@earthlink.net | Direct |
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 |
|---|---|---|---|
| 41318 | TX | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1457997900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 E SOUTHWEST PKWY APT 416",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750678728",
"telephone_number": "817-489-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 LONDONDERRY LN",
"city": "DENTON",
"state": "TX",
"postal_code": "762057792",
"telephone_number": "940-483-0644",
"fax_number": "940-483-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOUSEN",
"first_name": "KIRK",
"credential": "LCDC INTERN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "41318",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO NOT HAVE",
"identifier": "000000",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "bwcofdenton@earthlink.net",
"affiliation": "N",
"endpointDescription": "Secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "621 Londonderry Ln",
"city": "Denton",
"state": "TX",
"country_code": "US",
"postal_code": "762057792",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIRK",
"last_name": "VANHOUSEN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.