Jessica Kennington, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4613 Parkway Dr Ste 7
Texarkana, AR 71854-1191

Phone

(870) 330-4095

Fax

(844) 706-5741

NPI assigned

Jun 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Moonbrook Mind and Body Integrative Services IncorporatedGroup PAC ID 4284054735, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moonbrook Mind & Body Integrative Services Incorporated

  • Clinical Social Worker
  • Texarkana, AR
  • NPI 1376173401
  Medicare reassignment Care Compare group NPD Authorized official
• Arkansas Psychiatric Clinic Clinical Research Trials, PA

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1548661200
  Medicare reassignment NPD

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1902219587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PECAN ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545333",
            "telephone_number": "870-330-4095",
            "fax_number": "844-706-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 PARKWAY DR STE 7",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541191",
            "telephone_number": "870-330-4095",
            "fax_number": "844-706-5741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Pecan St",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718545333",
            "country_code": "US",
            "telephone_number": "870-330-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNINGTON",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202688795",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@moonbrookmindbody.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Moonbrook Mind & Body Integrative Services Incorporated",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4613 Parkway Dr Ste 7",
            "city": "Texarkana",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718541191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Kelley, LMSW
• Brandon M Kelley
• Chireta D Kelley
• Eshea Kelly
• Sheree Kennedy, OTA
• Kevin B Seddens Ddspllc
• Bianca R Kisselburg, LPC
• Nancy Francine Knowles
• Eric Koenig, M.A., CCC-A
• Manzan G Koffi, PHARMD

• Clinical Social Worker in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.