Active NPI
Kenneth Aldwin Priest, M.S.
- Counseling Psychologist
- Conway, AR
National Provider Identifier
1295910974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 89-19EI
- Practice address
- 2323 Washington Ave
Conway, AR 72032-2766 - Phone
- (501) 450-6350
- NPI assigned
- Dec 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 89-19EI | AR | Primary |
Addresses
Primary practice location
2323 Washington Ave
Conway, AR 72032-2766
Mailing address
PO Box 344
Conway, AR 72033-0344
Phone (501) 450-6350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89-19EI | AR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Perspective Counseling, Inc. | Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counseling Psychologist
- Conway, AR
- NPI 1336508316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1295910974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 344",
"city": "CONWAY",
"state": "AR",
"postal_code": "720330344",
"telephone_number": "501-450-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 WASHINGTON AVE",
"city": "CONWAY",
"state": "AR",
"postal_code": "720322766",
"telephone_number": "501-450-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIEST",
"first_name": "KENNETH",
"middle_name": "ALDWIN",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-31",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AR",
"license": "89-19EI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.