David A Kiningham, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39001795A Issued in IN

Practice address

6334 Constitution Dr.
Fort Wayne, IN 46804-4680

Phone

(260) 260-1209

Fax

(260) 782-3215

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• David Kiningham, LLC

  dba David Kiningham

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1295436228
  NPD Authorized official
• Family Care Center

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1407877657
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1215025853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041518",
            "telephone_number": "260-209-1209",
            "fax_number": "260-782-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6334 CONSTITUTION DR.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044680",
            "telephone_number": "260-260-1209",
            "fax_number": "260-782-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KININGHAM",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001795A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J. King II, M.D.
• Susan E King, AGPCNP-BC
• Tonisha M King, BA, MS.ED
• Winsome King
• Kingston Residence of Fort Wayne, LLC
• Emeri C Kinnamon, NP
• Robert James Kinne, M.D.
• George H Kinnebrew, M.D.
• Cassandra Kinney, AU.D.
• Kristen Kinnie, RBT

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.