Gerald Dwayne Webb, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2202005 Issued in AR

Practice address

1305 E Main St
Russellville, AR 72801-5322

Phone

(501) 889-4880

Fax

(479) 777-9928

NPI assigned

Jul 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beautiful Path Counseling LLC

  • Mental Health Counselor
  • Russellville, AR
  • NPI 1043951213
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1083223010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015322",
            "telephone_number": "501-889-4880",
            "fax_number": "479-777-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015322",
            "telephone_number": "501-889-4880",
            "fax_number": "479-777-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "GERALD",
        "middle_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2202005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Warrendorf, RECOVERY ASSISTANT
• Colton Waters, DOT
• Jaylon Watson
• Phyllis Watson, RECOVERY ASSISTANT
• Matthew Waymack
• Jonna Gail Webb, PA-C
• Justin Webb, LMSW
• Sheri Shanta Webb, CASE MANAGER PARAPRO
• Dillon Webster, LAC
• Candace Darlene Welcher, APN

• Professional Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.