Organization Active NPI

Kindred Connections, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisburg, IL
National Provider Identifier
1477213437
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KINDRED CONNECTIONS, PLLC
Practice address
540 N Commercial St Ste 210
Harrisburg, IL 62946-3373
Phone
(618) 738-0642
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Savannah McCall, LCPCNPI 1528458569
Title
Owner
Phone
(618) 534-5980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

540 N Commercial St Ste 210
Harrisburg, IL 62946-3373

Mailing address

19560 Shed Church Rd
Marion, IL 62959-8726
Phone (618) 534-5980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smccall@kindredconnectionscounseling.com

National Provider Directory

National Provider Directory

Locations

540 N Commercial St
Ste 210
Harrisburg, IL 62946
Phone (618) 738-0642

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1477213437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19560 SHED CHURCH RD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629598726",
            "telephone_number": "618-534-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N COMMERCIAL ST STE 210",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463373",
            "telephone_number": "618-738-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED CONNECTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-534-5980",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smccall@kindredconnectionscounseling.com",
            "affiliation": "N",
            "endpointDescription": "Work email address",
            "address_1": "540 N Commercial St Ste 210",
            "city": "Harrisburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629463373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.