Angela M Kirk, PHD, LSW, LICDC-CS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

923328 Issued in OH

Practice address

547 E 11TH Ave
Columbus, OH 43211-2603

Phone

(614) 586-7969

Fax

(614) 291-0118

NPI assigned

Mar 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compdrug

  • Methadone Clinic
  • Columbus, OH
  • NPI 1366220394
  NPD (past)
• Compdrug

  • Adult Mental Health Clinic/Center
  • Columbus, OH
  • NPI 1598543506
  NPD (past)

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1760843510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112603",
            "telephone_number": "614-586-7969",
            "fax_number": "614-291-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 E 11TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432112603",
            "telephone_number": "614-586-7969",
            "fax_number": "614-291-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, LSW, LICDC-CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "923328",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0006860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean M Kirby, M.D.
• Tracy Eugene Kirby
• Faith Kirigakure
• Alexandria Kirk
• Amy M Kirk, CNP
• Ashley Kirk
• Brian Kirk, LPC
• Casharion Ann Kirk, RN
• Deborah O. Kirk, RN
• Kayla D. Kirk, AU.D.

• Addiction (Substance Use Disorder) Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.