Calvin J. Kirklin, PH.D,LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C6865 Issued in OR

Practice address

1501 Woody Dr
Alexander, AR 72002-9420

Phone

(501) 682-9800

NPI assigned

Nov 14, 2017

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/youthhome/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite of Passage, Inc

  dba Arkansas Juvenile Assessment & Treatment Center

  • Community/Behavioral Health Agency
  • Alexander, AR
  • NPI 1679330203
  NPD
• Youth Home Inc

  dba Behavioral Health Services of Arkansas

  • Psychiatric Residential Treatment Facility
  • Little Rock, AR
  • NPI 1942266879
  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1477066322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WOODY DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720029420",
            "telephone_number": "501-682-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WOODY DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720029420",
            "telephone_number": "501-682-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLIN",
        "first_name": "CALVIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D,LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-07-18",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C6865",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "88695",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P1911138",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477066322",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• T'Shara E Harper, FNP
• Misty Leigh Hartwick
• Elizabeth Heaggans, APRN
• Heart to Hearts Home Care, LLC
• Holly Jo Jenkins, RN
• Lauren Penn Therapy Services LLC (Penn Pediatrics)
• Joe David May, M. D.
• Morgan McDonald, APRN
• Marquita S. McField
• Marna Musteen, PT

• Counselor in Alexander, AR
• Providers in Alexander, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.