Kenneth Chinchilla, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Cabot, AR
NPI 1376368332 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1376368332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 120399 (AR)
- Practice address
- 122 S 2ND St
Cabot, AR 72023-2943 - Phone
- (832) 775-2018
- NPI assigned
- Nov 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120399 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 120399 | AR | Yes |
Addresses
Primary practice location
122 S 2ND St
Cabot, AR 72023-2943
Mailing address
122 S 2ND St
Cabot, AR 72023-2943
Phone (501) 450-6350
Other providers in Cabot, AR
- Central Arkansas Counseling
- Central Arkansas Screening and Medical Services
- Deborah Ann Cerrato
- Kevonia Charvell Champ
- Christine Marie Cherry
- Melissa Cingolani
- Circle L Counseling, Inc.
- City Transport LLC
- Constance Clark
- Megan Clark
All providers in Cabot, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2026. 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.