Kids Can Fly Foundation

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 959 Issued in TX

Legal business name

KIDS CAN FLY FOUNDATION

Practice address

1201 W North Carrier Pkwy
Grand Prairie, TX 75050-8102

Phone

(817) 807-5932

Fax

(972) 377-6091

NPI assigned

Jun 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robert H. O'Neal, LPC, LMFT

Title

Executive Director/ Administrator

Phone

(817) 807-5932

Specialties & licenses 5

Addresses

Other names 1

• Riverson House, Hallie House, Pine Mountain Ranch, KCF Counseling Cent Doing business as

Locations

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339804800000",
    "number": "1851654735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CRAZY HORSE TRL",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287845",
            "telephone_number": "817-807-5932",
            "fax_number": "972-377-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W NORTH CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750508102",
            "telephone_number": "817-807-5932",
            "fax_number": "972-377-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CAN FLY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ ADMINISTRATOR",
        "authorized_official_telephone_number": "817-807-5932",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "LPC 959",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "LPC 959",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LPC 959",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "LPC 959",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "LMFT 469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverson House, Hallie House, Pine Mountain Ranch, KCF Counseling Cent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn K Kha, OD
• Behrooz Khademazad, DDS
• Waleed Khan, MD
• Geeta Khare
• Cynthia Kidd, OTR
• Joseph Yun Kim, MD
• Kook Sun Kim, DMD
• Kimberly M Parson DDS PLLC
• Antoinette Kincaid
• Kindcare Health

• Professional Counselor in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; 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.