Jack Worth Kilcrease II, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

59946 Issued in TX

Practice address

4833 Spicewood Springs Rd
Suite 101
Austin, TX 78759-7253

Phone

(512) 658-2674

Fax

(512) 346-0082

NPI assigned

Mar 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. J. Worth Kilcrease Other name

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": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1558684274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 SPICEWOOD SPRINGS RD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597253",
            "telephone_number": "512-658-2674",
            "fax_number": "512-346-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 SPICEWOOD SPRINGS RD",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597253",
            "telephone_number": "512-658-2674",
            "fax_number": "512-346-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCREASE",
        "first_name": "JACK",
        "middle_name": "WORTH",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "59946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J. WORTH",
            "last_name": "KILCREASE",
            "prefix": "MR.",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dennis Kihlberg
• Kasey Kihlberg, PT, DPT
• Rashid Mansur Kikhia, MD
• Krista Kilbane, LCSW
• Earl J Kilbride Jr., MD
• Brigid M Kiley, PA-C
• Cara Kiley, SLPA
• Raquel Lee Kiley, MD, MS
• Richard Craig Kiley
• Gina Kilgus, MT, CR

• Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.