1. Home
  2. Directory
  3. Louisiana
  4. Lafayette
  5. Counselor
  6. NPI Profile

KINGDOM SOURCE, LLC
NPI 1154698892
Counselor in Lafayette, LA

Active since November 23, 2011
2506 JOHNSTON ST, LAFAYETTE, LA 70503(337) 456-6166(337) 456-4830 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 26, 2019, Feb 4, 2019 (2 updates tracked since 2019).

About Kingdom Source, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGDOM SOURCE, LLC (NPI 1154698892) is a healthcare organization registered as a counselor in Lafayette, Louisiana and active in the NPI registry since November 2011. The organization lists Winford Louis Amos, Director/ Owner, as its authorized official.

NPPES Registry Identity

NPI1154698892
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameKINGDOM SOURCE, LLC
Location Address2506 JOHNSTON STLafayette, LA 70503-3238
Mailing Address3226 Grand Point HwyBreaux Bridge, LA 70517-6221 · (337) 456-6166 · Fax (337) 456-4830
Phone(337) 456-6166
Fax(337) 456-4830
Organization SubpartNo
Authorized OfficialWinford Louis AmosDirector/ Owner · (337) 456-6166
Enumeration DateNovember 23, 2011
Last NPPES UpdateNovember 26, 20192 updates tracked since enumeration
✔ NPI 1154698892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
2506 JOHNSTON ST, Lafayette, LA 70503
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINFORD LOUIS AMOS LPC, LAC, CCS
Counselor (Professional)
2506 JOHNSTON ST
LAFAYETTE, LA 70503
Lafayette Parish (337) 456-6166
LET'S TALK, L.L.C.
Early Intervention Provider Agency
2506 JOHNSTON ST
LAFAYETTE, LA 70503
Lafayette Parish (337) 356-2356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingdom Source, LLC's NPI number?

The NPI number for Kingdom Source, LLC is 1154698892. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Kingdom Source, LLC located?

Kingdom Source, LLC is located at 2506 Johnston St, Lafayette, LA 70503. The listed phone number is (337) 456-6166.

What is Kingdom Source, LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kingdom Source, LLC was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.