Active NPI
Molly Ann Vanwie, LPC
- Mental Health Counselor
- Bryant, AR
National Provider Identifier
1073971255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P1901009
- Practice address
- 2213 N Reynolds Rd Ste 1
Bryant, AR 72022-2501 - Phone
- (501) 847-0081
- Fax
- (501) 847-6905
- NPI assigned
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P1901009 | AR | Primary |
Addresses
Primary practice location
2213 N Reynolds Rd Ste 1
Bryant, AR 72022-2501
Mailing address
2213 N Reynolds Rd Ste 1
Bryant, AR 72022-2501
Phone (501) 847-0081
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1901009 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1073971255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 N REYNOLDS RD STE 1",
"city": "BRYANT",
"state": "AR",
"postal_code": "720222501",
"telephone_number": "501-847-0081",
"fax_number": "501-847-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 N REYNOLDS RD STE 1",
"city": "BRYANT",
"state": "AR",
"postal_code": "720222501",
"telephone_number": "501-847-0081",
"fax_number": "501-847-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANWIE",
"first_name": "MOLLY",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1901009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.