CBC Professionals, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

P1306058 Issued in AR

Legal business name

CBC PROFESSIONALS, LLC

Practice address

3331 E Heritage Pkwy
Farmington, AR 72730-5524

Phone

(479) 879-0094

Fax

(888) 547-7660

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Cristy Bartlett, LPCNPI 1477766095

Title

Sole Member

Phone

(479) 879-0094

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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

• Cristy S Bartlett, LPC

  • Professional Counselor
  • Farmington, AR
  • NPI 1477766095
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1104376508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1830",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727301830",
            "telephone_number": "479-879-0094",
            "fax_number": "888-547-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 E HERITAGE PKWY",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727305524",
            "telephone_number": "479-879-0094",
            "fax_number": "888-547-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBC PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "CRISTY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "479-879-0094",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AR",
            "license": "P1306058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Trevor Farentino Carter, ATC
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• Counselor in Farmington, AR
• Providers in Farmington, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.