David Jason Kirk, TLMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

105186 Issued in IA

Practice address

1105 Center St
Ruthven, IA 51358-8558

Phone

(712) 298-4325

NPI assigned

Dec 28, 2020

Last updated

Dec 28, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1467049254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "RUTHVEN",
            "state": "IA",
            "postal_code": "513580343",
            "telephone_number": "712-298-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 CENTER ST",
            "city": "RUTHVEN",
            "state": "IA",
            "postal_code": "513588558",
            "telephone_number": "712-298-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DAVID",
        "middle_name": "JASON",
        "credential": "TLMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "105186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawson Treatment Services, LLC
• Ruthven Community Care Center Inc (Ruthven Community Care Center)
• Ruthven-Ayrshire C.S.D.
• Rachel Marie Smith, DC

• Mental Health Counselor in Ruthven, IA
• Providers in Ruthven, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.