Kenneth Davis, SAC
NPI 1124384359 · Addiction (Substance Use Disorder) Counselor · Bentonville, AR
Kenneth Davis, SAC is a Addiction (Substance Use Disorder) Counselor provider in Bentonville, AR (NPI 1124384359).
Provider details
- NPI number
- 1124384359
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SAC
- Sex
- Male
- Sole proprietor
- No
- License
- 15651131 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-02
- Last updated
- 2013-11-06
Frequently asked questions
- What is Kenneth Davis's NPI number?
- Kenneth Davis's National Provider Identifier (NPI) is 1124384359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Davis's specialty?
- Kenneth Davis is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kenneth Davis located?
- Kenneth Davis's practice location on file with NPPES is 1002 Se C St, Bentonville, AR 72712-6327.
- What is Kenneth Davis's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Davis is (479) 271-2120.
- Is Kenneth Davis's NPI active?
- Yes — Kenneth Davis's NPI (1124384359) is active in the NPPES registry as of the last update on 2013-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.