Kathleen Siegenthaler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1073-C Issued in AR

Practice address

9728 E McNelly Rd
Bentonville, AR 72712-8548

Phone

(479) 544-1062

NPI assigned

Feb 22, 2006

Last updated

May 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kathleen Siegenthaler

  • Clinical Social Worker
  • Monett, MO
  • NPI 1356467401
  Authorized official Same address or phone
• Creative Counseling Center of Nwa, PLLC

  • Professional Counselor
  • Bentonville, AR
  • NPI 1346890027

  Clinical

  NPD (past)
• Jeffrey L Tate MD PA

  dba Tate Healthcare Specialists

  • Adult Mental Health Clinic/Center
  • Rogers, AR
  • NPI 1275877425
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1619942539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9728 E MCNELLY RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128548",
            "telephone_number": "417-773-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9728 E MCNELLY RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128548",
            "telephone_number": "479-544-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGENTHALER",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004011135",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1073-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499409845",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Shifflett, LCSW
• Deborah Mullens Shirey, DNP, FNP
• Amanda Kay Shover, LCSW
• Lance C. Shultz, NP
• Jordan Leigh Shy, OTR
• Amber June Sills, M.D.
• Maria Tereza Silva, LAC
• Jenny Amanda Simmons, M.S., PA-C
• Megan Simpson
• Rachel Simpson, BCBA

• Clinical Social Worker in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.