Kathleen Ellen Clendenen, LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P0405018 Issued in AR

Practice address

500 S. Broadway St.
Siloam Springs, AR 72761-3606

Phone

(479) 238-3950

NPI assigned

Jun 23, 2006

Last updated

Feb 4, 2016By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1669408712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727610731",
            "telephone_number": "479-238-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S. BROADWAY ST.",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613606",
            "telephone_number": "479-238-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENDENEN",
        "first_name": "KATHLEEN",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0405018",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M0408002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "5X992",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Siloam Springs
• Jamie Janelle Claborn, PA-C
• Veronica Ann Clarke, LPE
• Holly Clayton, RN
• Roy Dale Clemens, M.D.
• Quaileen Lyndon Clifton
• Bradley Clyne
• Whitly Nicole Cochran, LAC
• Jacob Cazort Cockcroft, M.S., CF-SLP
• Chelsea Kaitlyn Coffelt

• Professional Counselor in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.