Active NPI
The Guidance Center- Crawford County Sats
- Community/Behavioral Health Agency
- Van Buren, AR
National Provider Identifier
1023385358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE GUIDANCE CENTER- CRAWFORD COUNTY SATS
- Practice address
- 2705 Oak LN
Van Buren, AR 72956-4816 - Phone
- (479) 452-6650
- Fax
- (479) 785-9495
- NPI assigned
- Dec 1, 2011
- Organization subpart
- Yes
- Parent organization
- WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron L. 'Rusti' Holwick
- Title
- Ceo
- Phone
- (479) 452-6650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
2705 Oak LN
Van Buren, AR 72956-4816
Mailing address
PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188031744 | Medicaid | AR |
Other names 1
- WACGC - Crawford SATS
National Provider Directory
National Provider Directory- Tax ID family
- The Guidance Center - Whole Health
- Part of
- The Guidance Center - Whole Health
Other organizations with this tax ID 29
Organizations that report the same tax identification number in the National Provider Directory.
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- Community/Behavioral Health Agency
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- NPI 1457526857
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- NPI 1235407545
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- Community/Behavioral Health Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1023385358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11818",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171818",
"telephone_number": "479-452-6650",
"fax_number": "479-785-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 OAK LN",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729564816",
"telephone_number": "479-452-6650",
"fax_number": "479-785-9495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GUIDANCE CENTER- CRAWFORD COUNTY SATS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC",
"enumeration_date": "2011-12-01",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "HOLWICK",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "L. 'RUSTI'",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "479-452-6650"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188031744",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WACGC - Crawford SATS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.