Peggy Burt, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1702237 Issued in AR

Practice address

2607 Caddo St Ste 6
Ar Counseling & Psychodiagnostics, Inc.
Arkadelphia, AR 71923-5307

Phone

(870) 230-8217

Fax

(870) 230-8201

NPI assigned

Mar 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Akouo Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arkadelphia, AR
  • NPI 1750807533
  NPD Authorized official
• Arkansas Counseling and Psychodiagnostics, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Arkadelphia, AR
  • NPI 1356838569
  NPD (past)
• Arkansas Counseling and Psychodiagnostics, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Arkadelphia, AR
  • NPI 1902060684
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1003233693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE COUNSELING PLACE",
            "address_2": "2503 PINE ST STE 4",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234368",
            "telephone_number": "870-230-8217",
            "fax_number": "870-230-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 CADDO ST STE 6",
            "address_2": "AR COUNSELING & PSYCHODIAGNOSTICS, INC.",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235307",
            "telephone_number": "870-230-8217",
            "fax_number": "870-230-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "PEGGY",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-21",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1702237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Burks
• Mary Abbygail Burnham, PA
• Makayla D Burnside
• Deborah Yvonne Burroughs, MHPP
• Joseph Edward Burt, LPC
• Kimberly Burton
• Joel Blake Butler
• Byers Eye Care, PLLC
• Alicia Ellen Byers, O.D.
• Greg Heath Byrd, PTA

• Professional Counselor in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.