Active NPI
Kaiden Andrew Derrick Sterling
- Counselor
- Allen, TX
National Provider Identifier
1578070629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 550 S Watters Rd Ste 261
Allen, TX 75013-5231 - Phone
- (972) 836-8996
- NPI assigned
- Jan 10, 2018
- Last updated
- Sep 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
550 S Watters Rd Ste 261
Allen, TX 75013-5231
Mailing address
820 Apple Hill Dr
Allen, TX 75013-3339
Phone (972) 836-8996
Other practice location 1
320 Westway Pl Ste 530
Arlington, TX 76018-1000
Phone (817) 516-9100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1578070629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 APPLE HILL DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750133339",
"telephone_number": "972-836-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S WATTERS RD STE 261",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135231",
"telephone_number": "972-836-8996"
}
],
"practiceLocations": [
{
"address_1": "320 Westway Pl Ste 530",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760181000",
"country_code": "US",
"telephone_number": "817-516-9100",
"fax_number": "817-516-9102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERLING",
"first_name": "KAIDEN",
"middle_name": "ANDREW DERRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-10",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.