Active NPI
Jenifer Finch, MS, LPC
- Professional Counselor
- Rogers, AR
National Provider Identifier
1073891453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1510110
- Practice address
- 2005 W Elm St
Rogers, AR 72758-4018 - Phone
- (479) 636-0083
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1107072 | AR | |
| Professional Counselor | 101YP2500X | P15010110 | AR | |
| Professional Counselor | 101YP2500X | P1510110 | AR | Primary |
Addresses
Primary practice location
2005 W Elm St
Rogers, AR 72758-4018
Mailing address
2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000
Other practice location 1
2400 S 48th St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232213719 | Medicaid | AR |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1107072 | AR | MD | Mental Health Counselor |
| P15010110 | AR | MD | Professional Counselor |
| P1510110 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Still Waters Counseling, PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Fayetteville, AR
- NPI 1003154212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1073891453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 W BATTLEFIELD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073952",
"telephone_number": "417-761-5000",
"fax_number": "417-761-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 W ELM ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727584018",
"telephone_number": "479-636-0083"
}
],
"practiceLocations": [
{
"address_1": "2400 S 48th St",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727626683",
"country_code": "US",
"telephone_number": "479-750-2020",
"fax_number": "479-750-8967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINCH",
"first_name": "JENIFER",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1107072",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P15010110",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1510110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "232213719",
"state": "AR"
}
],
"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 Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.