Lisa Brock Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LISA BROCK COUNSELING

Practice address

4943 Old Greenwood Rd Ste 9
Fort Smith, AR 72903-6923

Phone

(479) 461-7789

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Brock, LPC LMFTNPI 1629478946

Title

Therapist

Phone

(479) 461-7789

Specialties & licenses 1

Addresses

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.

• Lisa G Brock, MS, LPC, LMFT

  • Professional Counselor
  • Fort Smith, AR
  • NPI 1629478946
  NPD (past) Authorized official

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1053876227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 GATEHOUSE WAY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 OLD GREENWOOD RD STE 9",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036923",
            "telephone_number": "479-461-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA BROCK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "479-461-7789",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.