Individual provider Active NPI

Lance Christopher Lennick, LPC

  • Mental Health Counselor
  • Fort Smith, AR
National Provider Identifier
1073021747
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-1678 Issued in WY
Practice address
1228 Brooken Hill Dr
Fort Smith, AR 72908-7000
Phone
(406) 471-3430
NPI assigned
Jan 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-1678 WY Primary

Addresses

Primary practice location

1228 Brooken Hill Dr
Fort Smith, AR 72908-7000

Mailing address

1228 Brooken Hill Dr
Fort Smith, AR 72908-7000
Phone (406) 471-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1073021747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 BROOKEN HILL DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087000",
            "telephone_number": "406-471-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 BROOKEN HILL DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087000",
            "telephone_number": "406-471-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNICK",
        "first_name": "LANCE",
        "middle_name": "CHRISTOPHER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-1678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.