Organization Active NPI

Beautiful Path Counseling LLC

  • Mental Health Counselor
  • Russellville, AR
National Provider Identifier
1043951213
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEAUTIFUL PATH COUNSELING LLC
Practice address
1305 E Main St
Russellville, AR 72801-5322
Phone
(501) 500-1545
Fax
(479) 777-9928
NPI assigned
Apr 4, 2022
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Mr. Gerald Dwayne Webb, LPCNPI 1083223010
Title
Owner
Phone
(501) 889-4880

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1305 E Main St
Russellville, AR 72801-5322

Mailing address

37 Williamsburg LN
Perryville, AR 72126-8686
Phone (501) 889-4880

Other names 1

  • Gerald Dwayne Webb, LPC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205002308 AR Part B Supplier - Clinic/Group Practice 5799215869 Receives reassigned benefits from 1 practitioner
Practice locations: Russellville, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1043951213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WILLIAMSBURG LN",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721268686",
            "telephone_number": "501-889-4880",
            "fax_number": "479-777-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015322",
            "telephone_number": "501-500-1545",
            "fax_number": "479-777-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL PATH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-04",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-889-4880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerald Dwayne Webb, LPC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gerald Dwayne Webb, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.

Verify at the official NPI Registry.