Organization Active NPI

Mission Psychotherapy Services

  • Mental Health Counselor
  • North Little Rock, AR
National Provider Identifier
1003661869
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MISSION PSYCHOTHERAPY SERVICES
Practice address
425 W Broadway St Ste H
North Little Rock, AR 72114-5576
Phone
(501) 672-5341
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Iris Giles, LPCNPI 1457623837
Title
Owner
Phone
(501) 551-3669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

425 W Broadway St Ste H
North Little Rock, AR 72114-5576

Mailing address

7432 Ridge Point CV
Sherwood, AR 72120-3591
Phone (501) 672-5341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250815000844 AR Part B Supplier - Clinic/Group Practice 0345749537 Receives reassigned benefits from 1 practitioner
Practice locations: North Little Rock, AR

National Provider Directory

National Provider Directory

Locations

217 W 2nd St
Ste 110
Little Rock, AR 72201

425 W Broadway St
Ste H
North Little Rock, AR 72114
Phone (501) 412-0069

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": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1003661869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 RIDGE POINT CV",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203591",
            "telephone_number": "501-672-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BROADWAY ST STE H",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145576",
            "telephone_number": "501-672-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-551-3669",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.