Active NPI
Lynda P Kirk, MA, LPC
- Specialist
- Austin, TX
National Provider Identifier
1710048186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15240
- Practice address
- 3624 North Hills Drive
Suite # B-205
Austin, TX 78731 - Phone
- (512) 794-9355
- Fax
- (512) 794-0076
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 15240 | TX | Primary |
Addresses
Primary practice location
3624 North Hills Drive
Suite # B-205
Austin, TX 78731
Mailing address
420 Brady Lane
Austin, TX 78746
Phone (512) 327-2569
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2435207 | Other | TX | AETNA HMO PIN |
| 7633005 | Other | TX | AETNA PPO-PIN |
| 74-2842143 | Other | TX | TAX PIN |
| 742842143 | Other | TX | HUMANA PPO & HMO PIN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15240 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710048186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 BRADY LANE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-327-2569",
"fax_number": "512-327-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3624 NORTH HILLS DRIVE",
"address_2": "SUITE # B-205",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-794-9355",
"fax_number": "512-794-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "LYNDA",
"middle_name": "P",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "15240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO PIN",
"identifier": "2435207",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO-PIN",
"identifier": "7633005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX PIN",
"identifier": "74-2842143",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PPO & HMO PIN",
"identifier": "742842143",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.