Organization Active NPI

Leaf and Light Therapy, LLC

  • Adult Mental Health Clinic/Center
  • Bentonville, AR
National Provider Identifier
1710793880
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LEAF AND LIGHT THERAPY, LLC
Practice address
840 Illinois Ave
Bentonville, AR 72713-4081
Phone
(479) 208-6009
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Jorden A Kenreigh-Tomas, MS, NCC, LACNPI 1437703543
Title
Counselor/Founder
Phone
(479) 208-6009

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

840 Illinois Ave
Bentonville, AR 72713-4081

Mailing address

840 Illinois Ave
Bentonville, AR 72713-4081
Phone (479) 208-6009

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1710793880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 ILLINOIS AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727134081",
            "telephone_number": "479-208-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 ILLINOIS AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727134081",
            "telephone_number": "479-208-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAF AND LIGHT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "KENREIGH-TOMAS",
        "authorized_official_first_name": "JORDEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR/FOUNDER",
        "authorized_official_telephone_number": "479-208-6009",
        "authorized_official_credential": "MS, NCC, LAC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.