Organization Active NPI

Wellness Solutions Counseling PLLC

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1023461217
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WELLNESS SOLUTIONS COUNSELING PLLC
Practice address
215 N East Ave
Suite 101
Fayetteville, AR 72701-5296
Phone
(479) 435-6679
NPI assigned
Jul 22, 2016
Last updated
Jul 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Halee Fawne Roberts, LCSW
Title
Co-Owner/Mental Health Therapist
Phone
(479) 435-6679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

215 N East Ave
Suite 101
Fayetteville, AR 72701-5296

Mailing address

215 N East Ave
Suite 101
Fayetteville, AR 72701-5296
Phone (479) 435-6679

National Provider Directory

National Provider Directory

Locations

215 N East Ave
Ste 101
Fayetteville, AR 72701
Phone (479) 435-6679

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1023461217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N EAST AVE",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015296",
            "telephone_number": "479-435-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N EAST AVE",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015296",
            "telephone_number": "479-435-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS SOLUTIONS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "HALEE",
        "authorized_official_middle_name": "FAWNE",
        "authorized_official_title_or_position": "CO-OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "479-435-6679",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "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 Jul 22, 2016; 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.