Kendria Barnes, BS
Individual provider Active NPI Mental Health Counselor · Pine Bluff, AR
NPI 1124569207 · NPPES record last updated Mar 9, 2017
Key facts
- NPI
- 1124569207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2500 Rike Dr
Pine Bluff, AR 71603-3937 - Phone
- (870) 534-1834
- Fax
- (870) 534-5798
- NPI assigned
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2500 Rike Dr
Pine Bluff, AR 71603-3937
Mailing address
2500 Rike Dr
Pine Bluff, AR 71603-3937
Phone (870) 534-1834
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116378726 | Medicaid | AR |
Other providers in Pine Bluff, AR
- Michael Aziz
- Louise Bailey
- Sherrita Bailey
- Stacey Bankston
- Carmen L Barnes
- La'Kimbra Barnes
- Latecia Denay Barnes
- Sherry Lynn Barnes
- Shirley Barnes
- Teressa Lynn Barnes
All providers in Pine Bluff, AR · Mental Health Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.