Organization Active NPI

Prosper Counseling & Consulting Services, PLLC

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1083222756
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PROSPER COUNSELING & CONSULTING SERVICES, PLLC
Practice address
8 Shackleford PLZ Ste 316
Little Rock, AR 72211-1852
Phone
(501) 222-7330
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Chasity R Jiles, LCSW, LADAC, ADCNPI 1902935562
Title
Private Practice
Phone
(501) 258-8646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8 Shackleford PLZ Ste 316
Little Rock, AR 72211-1852

Mailing address

3800 Holt St
Little Rock, AR 72204-6739
Phone (501) 258-8646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201026001101 AR Part B Supplier - Clinic/Group Practice 1355761677 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

8 Shackleford Plz
Ste 316
Little Rock, AR 72211
Phone (501) 222-7330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1083222756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOLT ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722046739",
            "telephone_number": "501-258-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SHACKLEFORD PLZ STE 316",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111852",
            "telephone_number": "501-222-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER COUNSELING & CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "JILES",
        "authorized_official_first_name": "CHASITY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRIVATE PRACTICE",
        "authorized_official_telephone_number": "501-258-8646",
        "authorized_official_credential": "LCSW, LADAC, ADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.