Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Telisha D Kirtdoll

Individual provider Behavior Technician · NPI 1568140457

Telisha D Kirtdoll is a Mental Health Counselor in Dallas, Texas. Qualified in 2024, 2 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2023

Practice location Address checks out

6538 Compass Ridge Dr
Dallas, TX 75249-2834
Phone: (972) 290-9762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 96165 (TX)

Record details

NPI number1568140457
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address6538 Compass Ridge Dr, Dallas, TX 75249-2834

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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