Charis Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHARIS COUNSELING PLLC

Doing business as

Mindy Grusing

Practice address

128 Southwinds Rd Ste 5&6
Farmington, AR 72730-8678

Phone

(479) 267-6934

Fax

(866) 798-3345

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By 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. Mindy Dawn Grusing, LCSWNPI 1588835110

Title

Counselor

Phone

(479) 466-8385

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mindy Grusing Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

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.

• Mindy Dawn Grusing, LCSW

  • Counselor
  • Springdale, AR
  • NPI 1588835110
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1063982866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1841",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727301841",
            "telephone_number": "479-466-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SOUTHWINDS RD STE 5&6",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727308678",
            "telephone_number": "479-267-6934",
            "fax_number": "866-798-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "GRUSING",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "479-466-8385",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINDY GRUSING",
            "identifier": "1588835110",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindy Grusing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Wagner Carlyle, M.D.
• Trevor Farentino Carter, ATC
• Mallory Causey
• CBC Professionals, LLC
• Randall E Champion
• Janet Leanne Cobb, PT, DPT
• Mallory Cochran
• Collier Drug Stores Inc (Collier Drug-Farmington)
• Collier Drug Stores Inc (Collier Drug - Farmington)
• Context Therapy Company LLC Dba Unmasking Lab

• Mental Health Clinic/Center (Including Community Mental Health Center) in Farmington, AR
• Providers in Farmington, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.