Healthcare Provider Details

I. General information

NPI: 1508782517
Provider Name (Legal Business Name): MORGAN KINNEY COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 JOHN ST S
SALEM OR
97302-5112
US

IV. Provider business mailing address

2501 CHATHAM RD # 8379
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 872-327-4958
  • Fax:
Mailing address:
  • Phone: 872-327-4958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MORGAN ANDREW KINNEY
Title or Position: OWNER
Credential: LCPC, PHD
Phone: 872-327-4958