NPIMap

Organization Active NPI

Kidspiration Outpatient Therapy Services

  • Behavior Technician
  • Mountain Home, AR
National Provider Identifier
1861364044
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
KIDSPIRATION OUTPATIENT THERAPY SERVICES
Practice address
1310 Bradley Dr
Mountain Home, AR 72653-2730
Phone
(870) 424-4021
Fax
(870) 424-4112
NPI assigned
Sep 18, 2025
Organization subpart
Yes
Parent organization
KIDSPIRATION OUTPATIENT THERAPY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Jolene Shockey, CPC, CPB
Title
Billing Manager
Phone
(870) 405-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

1310 Bradley Dr
Mountain Home, AR 72653-2730

Mailing address

1310 Bradley Dr
Mountain Home, AR 72653-2730
Phone (870) 424-4021

Other names 1

  • Kidspiration Waiver Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kidspiration Behavioral Health4 organizations share this tax ID, including this one
Part of
Kidspiration Behavioral Health

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1861364044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BRADLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532730",
            "telephone_number": "870-424-4021",
            "fax_number": "870-424-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BRADLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532730",
            "telephone_number": "870-424-4021",
            "fax_number": "870-424-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPIRATION OUTPATIENT THERAPY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDSPIRATION OUTPATIENT THERAPY SERVICES",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "SHOCKEY",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "870-405-8827",
        "authorized_official_credential": "CPC, CPB"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidspiration Waiver Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.