NPIMap

Organization Active NPI

22Kill

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1811524085
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
22KILL
Practice address
855 Texas St Ste 105
Fort Worth, TX 76102-4574
Phone
(682) 990-6242
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Mrs. Tempa Sherrill
Title
Coo
Phone
(817) 734-4854

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

855 Texas St Ste 105
Fort Worth, TX 76102-4574

Mailing address

855 Texas St
Fort Worth, TX 76102-4572

Other practice location 1

13625 Neutron Rd
Dallas, TX 75244-4411
Phone (214) 462-7229

National Provider Directory

National Provider Directory
Tax ID family
One Tribe Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13625 Neutron Rd
Dallas, TX 75244
Phone (214) 462-7229

855 Texas St
Fort Worth, TX 76102

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1811524085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 TEXAS ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 TEXAS ST STE 105",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024574",
            "telephone_number": "682-990-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13625 Neutron Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752444411",
            "country_code": "US",
            "telephone_number": "214-462-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "22KILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "TEMPA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "817-734-4854",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.