NPIMap

Organization Active NPI

Hiram Kirkendall

  • Community/Behavioral Health Agency
  • Bellwood, IL
National Provider Identifier
1629496906
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
178009377 Issued in IL
Legal business name
HIRAM KIRKENDALL
Practice address
510 Geneva Ave
Bellwood, IL 60104-1706
Phone
(630) 697-8882
NPI assigned
Apr 3, 2014
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Hiram Kirkendall Kirkendall, LPCNPI 1740690668
Title
Counselor
Phone
(630) 697-8882

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
Community/Behavioral Health Agency 251S00000X 178009377 IL Primary

Addresses

Primary practice location

510 Geneva Ave
Bellwood, IL 60104-1706

Mailing address

510 Geneva Ave
Bellwood, IL 60104-1706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1629496906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GENEVA AVE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601041706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GENEVA AVE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601041706",
            "telephone_number": "630-697-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRAM KIRKENDALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "KIRKENDALL",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_middle_name": "KIRKENDALL",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "630-697-8882",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "178009377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.