Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Miracle Kids Success Academy, Inc.

Clinical Child & Adolescent Psychologist in Jonesboro, AR · enumerated 2026 · authorized official Shelly Keller, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487575130

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Registry record

Entity type Organization (Type 2)

Legal business name Miracle Kids Success Academy, Inc.

Practice address 1900 Stillwater Dr, Jonesboro, AR, 72404

Phone (870) 932-3600

Enumeration date Jul 21, 2026

Last updated in NPPES Jul 21, 2026

Taxonomy & classification

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers Primary

Authorized official

Name Shelly Keller

Title Ceo

Phone (870) 932-3600

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Miracle Kids Success Academy, Inc.?

Miracle Kids Success Academy, Inc. is registered in NPPES as a Clinical Child & Adolescent Psychologist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-21.