Individual provider Active NPI

Todd McGuire

  • Mental Health Counselor
  • Conway, AR
National Provider Identifier
1013349208
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1803024 Issued in AR
Practice address
132 Lower Ridge Rd
Conway, AR 72032-8518
Phone
(501) 315-3344
NPI assigned
Jul 30, 2013
Last updated
Nov 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A1602015 AR
Case Manager/Care Coordinator 171M00000X AR
Mental Health Counselor 101YM0800X P1803024 AR Primary

Addresses

Primary practice location

132 Lower Ridge Rd
Conway, AR 72032-8518

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1602015ARMDCounselor
P1803024ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Birch Tree Communities, Inc CurrentSince Jan 1, 2024 Accepting new patients
Birch Tree Communities Inc CurrentSince Jan 1, 2024 Accepting new patients
Central Arkansas Group Counseling, PLLC Past Accepting new patients

Locations

1718 Hot Springs Hwy
Benton, AR 72019
Phone (501) 303-1634

6701 Highway 67
Benton, AR 72015
Phone (501) 860-0500

6701 Highway 67
Bldg 4
Benton, AR 72015

132 Lower Ridge Rd
Conway, AR 72032
Phone (501) 548-9905

1628 E Page Ave
Malvern, AR 72104
Phone (501) 332-4437

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1013349208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1589",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181589",
            "telephone_number": "501-315-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 LOWER RIDGE RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720328518",
            "telephone_number": "501-315-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "TODD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A1602015",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1803024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.