Telisha D Kirtdoll

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

96165 Issued in TX

Practice address

6538 Compass Ridge Dr
Dallas, TX 75249-2834

Phone

(972) 290-9762

NPI assigned

Jul 10, 2023

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1568140457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6538 COMPASS RIDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752492834",
            "telephone_number": "972-290-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6538 COMPASS RIDGE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752492834",
            "telephone_number": "972-290-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRTDOLL",
        "first_name": "TELISHA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "96165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meron Kiros Weldeab, M.D.
• Kirpal Toor DMD PLLC
• Jonathan Kirsch, DPT
• Joanna Kirschbaum
• Karl Gustav Kirschke, M.D.
• Kelly Rose Kirtek, CAA, RRT
• Timothy Joseph Kirtek, MD
• Kristal Kirtis, RN
• Ashok S. Kirumaki, M.D.
• Sachi Kishinchandani

• Behavior Technician in Dallas, TX
• Providers in Dallas, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.