Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477066322 Individual Practitioner Male Practitioner

Dr. Calvin J. Kirklin , PhD, LPC, NCC

Counselor • Alexander, AR

Professional Overview & Biography Verified Profile Summary

Dr. Calvin Kirklin, PhD, LPC, NCC is a registered healthcare professional specializing in Counselor in Alexander, AR. Practice services are available at 1501 WOODY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1501 Woody Dr

Alexander, AR 720029420

Telephone 5016829800
Associated Practice Facility / Clinic
🏢 Rite Of Passage, Inc Facility NPI 1679330203

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Alexander, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Alexander, AR (1625 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR C6865

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License TX 88695

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License AR P1911138

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1477066322 (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Marquita Mcfield

Social Worker

NPI 1326355306
NPI 1639003106

Doctor of Psychology (Psy.D.), Licensed Professional Counselor

Lonnell Seamster , NP-C

Nurse Practitioner - Family

NPI 1851937254

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location July 18, 2024

Registered at 1501 WOODY DR, ALEXANDER, AR 720029420 (Tel: 5016829800)

📍
Updated Business Mailing Address July 18, 2024

Registered at 1501 WOODY DR, ALEXANDER, AR 720029420 (Tel: 5016829800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2024

Counselor (License #C6865 in OR)

📍
Updated Practice Location July 13, 2022

Registered at 16520 SW UPPER BOONES FERRY RD STE 240, PORTLAND, OR 972247659 (Tel: 9712404025)

📍
Updated Business Mailing Address July 13, 2022

Registered at 16520 SW UPPER BOONES FERRY RD STE 240, PORTLAND, OR 972247659 (Tel: 5037838398)

👤
Provider Name / Credentials Updated July 13, 2022

Recorded as CALVIN KIRKLIN, PH.D,LPC, NCC

📍
Updated Practice Location February 08, 2022

Registered at 3000 W SCENIC DR, NORTH LITTLE ROCK, AR 721183347 (Tel: 5018122288)

📍
Updated Business Mailing Address February 08, 2022

Registered at 3000 W SCENIC DR, NORTH LITTLE ROCK, AR 721183347 (Tel: 5018122288)

👤
Provider Name / Credentials Updated February 08, 2022

Recorded as CALVIN KIRKLIN, LPC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2022

Counselor (License #P1911138 in AR)

NPI Profile Active November 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2017

Registered at 10 CORPORATE HILL DR, LITTLE ROCK, AR 722054540 (Tel: 5019547470)

📍
Updated Business Mailing Address November 14, 2017

Registered at 10 CORPORATE HILL DR, LITTLE ROCK, AR 722054540

👤
Provider Name / Credentials Updated November 14, 2017

Recorded as CALVIN KIRKLIN, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2017

Counselor (License #A1709283 in AR)

🟢
Initial NPI Registration & Enumeration November 14, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477066322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2017
Last Update: July 18, 2024
Sole Proprietor: Yes

Mailing Address

1501 Woody Dr

Alexander, AR 720029420

Phone: 5016829800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.