KND Behavioral Health Clinic PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KND BEHAVIORAL HEALTH CLINIC PLLC

Practice address

99 Regency Pkwy Ste 113
Mansfield, TX 76063-7818

Phone

(972) 904-5760

Fax

(817) 592-3323

NPI assigned

Oct 6, 2020

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Onwubuya, PMHNPNPI 1386292001

Title

Owner

Phone

(661) 472-4897

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• N & E Nemt LLC

  • Secured Medical Transport (VAN)
  • Mansfield, TX
  • NPI 1679218226
  NPPES parent name

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.

• Kimberly Nneka Onwubuya, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
  • NPI 1386292001
  Authorized official Same address or phone

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1700483468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 REGENCY PKWY STE 113",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637818",
            "telephone_number": "972-904-5760",
            "fax_number": "817-592-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 REGENCY PKWY STE 113",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637818",
            "telephone_number": "972-904-5760",
            "fax_number": "817-592-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KND BEHAVIORAL HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "ONWUBUYA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-472-4897",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4177644",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417764401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marica King, LPC-S, NCC, BC-TMH
• Sherri Kirschbaum, FNP
• Denean Renee Kline, NCC, LPC, LCDC, SAP
• Nancy Klitzke, LPC
• KLR Physician Group
• KND Development 59, LLC
• Kristine Ashleigh Knoll
• Jacob Ross Knox
• Max W Koch
• Dayo Oluwaseun Kolawole, NP

• Psychiatric/Mental Health Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.