Care Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CARE COUNSELING SERVICES

Practice address

217 W 2ND St Ste 306
Little Rock, AR 72201-2522

Phone

(501) 412-0049

NPI assigned

Nov 30, 2023

Last updated

Jan 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Stidum, LPCNPI 1629364203

Title

Owner/Licensed Therapist

Phone

(501) 412-0069

Specialties & licenses 2

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, and the practitioner matching its NPPES authorized official.

• Crystal Rochelle Stidum, LPC

  • Mental Health Counselor
  • North Little Rock, AR
  • NPI 1629364203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1104692193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9214 TALL TIMBER BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048523",
            "telephone_number": "501-247-0252",
            "fax_number": "501-712-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W 2ND ST STE 306",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722012522",
            "telephone_number": "501-412-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "STIDUM",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER/LICENSED THERAPIST",
        "authorized_official_telephone_number": "501-412-0069",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.