Kingdom Connect Consulting Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KINGDOM CONNECT CONSULTING SERVICES, LLC

Practice address

162 Mound City Rd
Marion, AR 72364-1830

Phone

(870) 945-5292

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Reda V Kirkwood, LCSWNPI 1992229082

Title

Owner

Phone

(870) 945-5292

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reda Vernice Kirkwood, LCSW

  • Clinical Social Worker
  • Forrest City, AR
  • NPI 1992229082
  NPD Authorized official

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1023756574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1354",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723361354",
            "telephone_number": "870-945-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MOUND CITY RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641830",
            "telephone_number": "870-945-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723353302",
            "country_code": "US",
            "telephone_number": "870-630-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGDOM CONNECT CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "REDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-945-5292",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231960719",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "family@yourkingdomconnect.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "162 Mound City Rd",
            "city": "Marion",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723641830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lasonya Key
• Kids for the Future of Marion
• Kidspot Marion, Inc.
• Kidspot Marion, Inc.
• Paul Kilvington, P.T.
• Kassidy Kirkman, PHARM.D.
• Knew Mindset LLC
• Teresa Kundert
• Toni Rae Landreth, MHPP
• Kacee Latimar

• Mental Health Counselor in Marion, AR
• Providers in Marion, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.