Active NPI
Stone Path Counseling, PLC
- Mental Health Counselor
- Fayetteville, AR
National Provider Identifier
1023414885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- STONE PATH COUNSELING, PLC
- Practice address
- 130 E Poplar St Ste C
Fayetteville, AR 72703 - Phone
- (479) 435-6047
- Fax
- (479) 755-3595
- NPI assigned
- Nov 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Myrna Borbon Young, LPC
- Title
- Mental Health Counselor
- Phone
- (479) 225-8160
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
130 E Poplar St Ste C
Fayetteville, AR 72703
Mailing address
130 E Poplar St Ste C
Fayetteville, AR 72703-2573
Phone (479) 435-6047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
130 E Poplar St
Ste C
Fayetteville, AR 72703
Phone (479) 435-6047
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fayetteville, AR
- NPI 1164156584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549238400000",
"number": "1023414885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E POPLAR ST STE C",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032573",
"telephone_number": "479-435-6047",
"fax_number": "479-755-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E POPLAR ST STE C",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-435-6047",
"fax_number": "479-755-3595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONE PATH COUNSELING, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-06",
"last_updated": "2019-02-04",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "MYRNA",
"authorized_official_middle_name": "BORBON",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "479-225-8160",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.