Individual provider Active NPI

Kiira Sisman

  • Mental Health Counselor
  • Cypress, TX
National Provider Identifier
1982328191
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80399 Issued in TX
Practice address
12810 Highland Hills Dr
Cypress, TX 77429-2020
Phone
(832) 534-0818
NPI assigned
Sep 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80399 TX Primary

Addresses

Primary practice location

12810 Highland Hills Dr
Cypress, TX 77429-2020

Mailing address

12810 Highland Hills Dr
Cypress, TX 77429-2020

Other practice location 1

25511 Budde Rd Ste 1901
The Woodlands, TX 77380-2097
Phone (832) 306-2969

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

State licenses

LicenseStateTypeSpecialty
80399TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Peace in the Woodlands CurrentSince Dec 13, 2022 Accepting new patients

Locations

25511 Budde Rd
Ste 1901
The Woodlands, TX 77380
Phone (832) 306-2969

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1982328191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HIGHLAND HILLS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HIGHLAND HILLS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292020",
            "telephone_number": "832-534-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25511 Budde Rd Ste 1901",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773802097",
            "country_code": "US",
            "telephone_number": "832-306-2969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISMAN",
        "first_name": "KIIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.