Active NPI
Kenya R Liddell, LPC, BC-TMH
- Professional Counselor
- Marion, AR
National Provider Identifier
1497068456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 162 E. Military Road, Suite B
Marion, AR 72364-7236 - Phone
- (870) 466-4773
- Fax
- (870) 466-4773
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
162 E. Military Road, Suite B
Marion, AR 72364-7236
Mailing address
PO Box 1177
Olive Branch, MS 38654-0940
Phone (870) 466-4773
Other practice location 1
4001 Commercial Center Dr Ste 2
Marion, AR 72364-9616
Phone (870) 732-7920
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1497068456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1177",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386540940",
"telephone_number": "870-466-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E. MILITARY ROAD, SUITE B",
"city": "MARION",
"state": "AR",
"postal_code": "723647236",
"telephone_number": "870-466-4773",
"fax_number": "870-466-4773"
}
],
"practiceLocations": [
{
"address_1": "4001 Commercial Center Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "AR",
"postal_code": "723649616",
"country_code": "US",
"telephone_number": "870-732-7920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIDDELL",
"first_name": "KENYA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LPC, BC-TMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.