Organization Active NPI

McKensie Cleavenger Therapy, LLC

  • Marriage & Family Therapist
  • Richland, WA
National Provider Identifier
1720702749
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MCKENSIE CLEAVENGER THERAPY, LLC
Practice address
404 Bradley Blvd Ste 200
Richland, WA 99352-4500
Phone
(509) 530-8716
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
McKensie CleavengerNPI 1356818777
Title
Provider/Sole Owner
Phone
(509) 530-8716

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

404 Bradley Blvd Ste 200
Richland, WA 99352-4500

Mailing address

404 Bradley Blvd Ste 200
Richland, WA 99352-4500
Phone (509) 530-8716

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": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1720702749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BRADLEY BLVD STE 200",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524500",
            "telephone_number": "509-530-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRADLEY BLVD STE 200",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524500",
            "telephone_number": "509-530-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENSIE CLEAVENGER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "CLEAVENGER",
        "authorized_official_first_name": "MCKENSIE",
        "authorized_official_title_or_position": "PROVIDER/SOLE OWNER",
        "authorized_official_telephone_number": "509-530-8716"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.