NPIMap

Organization Active NPI

State of the Heart Counseling Services, Inc.

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1003119751
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2117-C Issued in AR
Legal business name
STATE OF THE HEART COUNSELING SERVICES, INC.
Practice address
7123 I-30
Suite 6
Little Rock, AR 72209-3121
Phone
(501) 414-0070
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Andrea Michelle Fresh, LCSW
Title
Director
Phone
(501) 442-2293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 2117-C AR Primary

Addresses

Primary practice location

7123 I-30
Suite 6
Little Rock, AR 72209-3121

Mailing address

PO Box 451
Little Rock, AR 72203-0451
Phone (501) 442-2293

National Provider Directory

National Provider Directory

Locations

7123 I 30
Ste 6
Little Rock, AR 72209
Phone (501) 414-0070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1003119751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722030451",
            "telephone_number": "501-442-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7123 I-30",
            "address_2": "SUITE 6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722093121",
            "telephone_number": "501-414-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF THE HEART COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "FRESH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-442-2293",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "2117-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.