KENDRA BURNSIDE LCSW INC PC
NPI 1316196405
Community/Behavioral Health in Ada, OK

Active since September 12, 2008
2100 N BROADWAY AVE, ADA, OK 74820(580) 436-7120(580) 436-7121 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendra Burnside Lcsw Inc Pc NPPES

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

KENDRA BURNSIDE LCSW INC PC (NPI 1316196405) is a healthcare organization registered as a community/behavioral health in Ada, Oklahoma and active in the NPI registry since September 2008. The organization lists Kendra Burnside, Lcsw, as its authorized official.

NPPES Registry Identity

NPI1316196405
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKENDRA BURNSIDE LCSW INC PC
Location Address2100 N BROADWAY AVEAda, OK 74820-1048
Mailing Address2100 N Broadway AveAda, OK 74820-1048 · (580) 436-7120 · Fax (580) 436-7121
Fax(580) 436-7121
Organization SubpartNo
Authorized OfficialKendra BurnsideLcsw · (580) 436-7120
Enumeration DateSeptember 12, 2008
NPI 1316196405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in OK · LCSW
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2100 N BROADWAY AVE, Ada, OK 74820

Other Providers at the Same Location NPPES 19

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

Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Massage Therapist
2100 N BROADWAY AVE
ADA, OK 74820
Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Social Worker (Clinical)
2100 N BROADWAY AVE
ADA, OK 74820
Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Counselor (Professional)
2100 N BROADWAY AVE
ADA, OK 74820
Psychologist (Health Service)
2100 N BROADWAY AVE
ADA, OK 74820

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 Kendra Burnside Lcsw Inc PC's NPI number?

The NPI number for Kendra Burnside Lcsw Inc PC is 1316196405. It was assigned to this organization in the NPPES registry on September 12, 2008.

Where is Kendra Burnside Lcsw Inc PC located?

Kendra Burnside Lcsw Inc PC is located at 2100 N Broadway Ave, Ada, OK 74820. The listed phone number is (580) 436-7120.

What is Kendra Burnside Lcsw Inc PC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kendra Burnside Lcsw Inc PC was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.