Organization Active NPI

Kingdom Bridge, Inc.

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1932058682
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KINGDOM BRIDGE, INC.
Practice address
609 S Kelly Ave Ste C
Edmond, OK 73003-5659
Phone
(405) 697-0203
NPI assigned
Jan 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Caleb McKean, LPCNPI 1326594235
Title
President/Director
Phone
(405) 696-7636

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

609 S Kelly Ave Ste C
Edmond, OK 73003-5659

Mailing address

609 S Kelly Ave Ste C1
Edmond, OK 73003-5743
Phone (405) 697-0203

National Provider Directory

National Provider Directory

Locations

609 S Kelly Ave
Ste C1
Edmond, OK 73003
Phone (405) 348-5757

609 S Kelly Ave
Ste C
Edmond, OK 73003
Phone (405) 697-0203

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": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1932058682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S KELLY AVE STE C1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035743",
            "telephone_number": "405-697-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S KELLY AVE STE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035659",
            "telephone_number": "405-697-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM BRIDGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "MCKEAN",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "405-696-7636",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

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