Organization Active NPI

Jill Gorman LPC LLC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1003234675
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1212118 Issued in AR
Legal business name
JILL GORMAN LPC LLC
Practice address
1501 N University Ave Ste 700
Little Rock, AR 72207-5297
Phone
(817) 681-0069
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mrs. Jill Gorman, LPC
Title
President
Phone
(817) 681-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X P1212118 AR Primary

Addresses

Primary practice location

1501 N University Ave Ste 700
Little Rock, AR 72207-5297

Mailing address

16 Woodberry Rd
Little Rock, AR 72212-2742
Phone (817) 681-0069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1003234675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WOODBERRY RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122742",
            "telephone_number": "817-681-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N UNIVERSITY AVE STE 700",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075297",
            "telephone_number": "817-681-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL GORMAN LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-681-0069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1212118",
            "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 May 12, 2015; 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.