David Kiningham, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DAVID KININGHAM, LLC

Doing business as

David Kiningham

Practice address

10315 Dawsons Creek Blvd Ste E
Fort Wayne, IN 46825-1912

Phone

(260) 387-6984

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Mr. David Allen Kiningham, LMHCNPI 1215025853

Title

President

Phone

(260) 444-8224

Specialties & licenses 1

Addresses

Other names 1

• David Kiningham Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Kiningham, M.ED

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1215025853
  NPD Authorized official

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1295436228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 GREYTHORN DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468158791",
            "telephone_number": "260-444-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD STE E",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KININGHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "KININGHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-444-8224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Kiningham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David K. Harrison DDS PC
• David K. Wysong DPM, PC
• David M. Allen D.D.S. and Associates, P.C. (afdent)
• David N Lombard, PH.D, LLC
• David T Holmes MD PC
• Bethany Davidson, PTA
• Erica Davidson

• 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 Mar 16, 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.