Kevin Nathaniel Phelps Spurgers, MS, LPC, NCC, TA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1906080

Practice address

523 Locust Ave
Conway, AR 72034-5324

Phone

(501) 208-8062

Fax

(501) 208-8062

NPI assigned

Jun 29, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kevin Nathaniel Phelps Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Align Counseling & Wellness

  • Professional Counselor
  • Conway, AR
  • NPI 1801456850

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1043661135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 LOCUST AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345324",
            "telephone_number": "501-208-8062",
            "fax_number": "501-208-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 LOCUST AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345324",
            "telephone_number": "501-208-8062",
            "fax_number": "501-208-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURGERS",
        "first_name": "KEVIN",
        "middle_name": "NATHANIEL PHELPS",
        "credential": "MS, LPC, NCC, TA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1906080",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "P1906080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "PHELPS",
            "middle_name": "NATHANIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Spencer Gordy DDS PA
• Matthew Spicer
• Andrea Lauren Spinelli, PT
• Kayleigh Springer, AGACNP-BC
• Marcus Dewayne Springer Jr.
• Leslie Spurgers
• Timothy Scott Spurlin, MNSC, APRN, PMHNP-BC
• Haley Squires
• St. Andrews Health Services
• St. Andrews Place, Inc.

• Professional Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.