Moonbrook Mind & Body Integrative Services Incorporated
NPI 1376173401 · Clinical Social Worker · Texarkana, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moonbrook Mind & Body Integrative Services Incorporated is a Clinical Social Worker organization in Texarkana, AR (NPI 1376173401).
Provider details
- NPI number
- 1376173401
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Kennington, Owner(870) 330-4095
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
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
6 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
- 2020-01-16
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Frequently asked questions
- What is Moonbrook Mind & Body Integrative Services Incorporated's NPI number?
- Moonbrook Mind & Body Integrative Services Incorporated's National Provider Identifier (NPI) is 1376173401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moonbrook Mind & Body Integrative Services Incorporated?
- Moonbrook Mind & Body Integrative Services Incorporated is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Moonbrook Mind & Body Integrative Services Incorporated located?
- Moonbrook Mind & Body Integrative Services Incorporated's practice location on file with NPPES is 421 Pecan St, Texarkana, AR 71854-5333.
- What is Moonbrook Mind & Body Integrative Services Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Moonbrook Mind & Body Integrative Services Incorporated is (870) 330-4095.
- Does Moonbrook Mind & Body Integrative Services Incorporated accept Medicare?
- Moonbrook Mind & Body Integrative Services Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Moonbrook Mind & Body Integrative Services Incorporated?
- The authorized official listed on Moonbrook Mind & Body Integrative Services Incorporated's NPPES record is Jessica Kennington, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moonbrook Mind & Body Integrative Services Incorporated's NPI active?
- Yes — Moonbrook Mind & Body Integrative Services Incorporated's NPI (1376173401) is active in the NPPES registry as of the last update on 2026-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.