NPIMap

Organization Active NPI

Nikki Penn Counseling and Consulting, PLLC

  • Professional Counselor
  • Batesville, AR
National Provider Identifier
1104308899
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0405022 Issued in AR
Legal business name
NIKKI PENN COUNSELING AND CONSULTING, PLLC
Practice address
1275 E College St
Batesville, AR 72501-3548
Phone
(870) 793-0071
Fax
(888) 683-9687
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Victoria Fitterling
Title
Billing Manager
Phone
(870) 793-0071

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 092L AR
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X P0405022 AR Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X M0405001 AR

Addresses

Primary practice location

1275 E College St
Batesville, AR 72501-3548

Mailing address

PO Box 2523
Batesville, AR 72503-2523
Phone (870) 793-0071

Other identifiers 2

IdentifierTypeStateIssuer
M0405001OtherARLMFT
P0405022OtherARLPC

National Provider Directory

National Provider Directory

Locations

2890 W Walnut St
Rogers, AR 72756
Phone (870) 793-0071

Practitioners & affiliated clinicians

Practitioners 2

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": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1104308899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2523",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725032523",
            "telephone_number": "870-793-0071",
            "fax_number": "888-683-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E COLLEGE ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725013548",
            "telephone_number": "870-793-0071",
            "fax_number": "888-683-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI PENN COUNSELING AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "FITTERLING",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "870-793-0071"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "092L",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0405022",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M0405001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "M0405001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "P0405022",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.