NPIMap

Organization Active NPI

Freeman-Burchfield and Welles Institute of Cognitive Behavioral Therap

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rogers, AR
National Provider Identifier
1043783079
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FREEMAN-BURCHFIELD AND WELLES INSTITUTE OF COGNITIVE BEHAVIORAL THERAP
Practice address
5210 W Village Pkwy
Rogers, AR 72758-8104
Phone
(479) 372-7446
Fax
(479) 802-4765
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Ryan Burchfield, MS, LPC
Title
Owner/Therapist
Phone
(479) 282-4452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5210 W Village Pkwy
Rogers, AR 72758-8104

Mailing address

5210 W Village Pkwy
Rogers, AR 72758-8104
Phone (479) 372-7446

National Provider Directory

National Provider Directory

Locations

5210 W Village Pkwy
Rogers, AR 72758
Phone (479) 282-4452

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1043783079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 W VILLAGE PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588104",
            "telephone_number": "479-372-7446",
            "fax_number": "479-802-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 W VILLAGE PKWY",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588104",
            "telephone_number": "479-372-7446",
            "fax_number": "479-802-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEMAN-BURCHFIELD AND WELLES INSTITUTE OF COGNITIVE BEHAVIORAL THERAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "BURCHFIELD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "479-282-4452",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.