Individual provider Active NPI

Gracie Ann Gonner, M.S.

  • Counseling Psychologist
  • Helena, AR
National Provider Identifier
1114100328
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
80-24E Issued in AR
Practice address
406 Pecan St
Helena, AR 72342-3212
Phone
(870) 338-8447
Fax
(870) 338-8048
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 80-24E AR Primary

Addresses

Primary practice location

406 Pecan St
Helena, AR 72342-3212

Mailing address

307 S Tenth
West Helena, AR 72390-3135
Phone (870) 572-6132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
80-24EARMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Education Center, Inc CurrentSince Jan 1, 1990 Accepting new patients

Locations

406 Pecan
Helena, AR 72342
Phone (870) 338-8447

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1114100328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S TENTH",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723903135",
            "telephone_number": "870-572-6132",
            "fax_number": "870-338-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 PECAN ST",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723423212",
            "telephone_number": "870-338-8447",
            "fax_number": "870-338-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONNER",
        "first_name": "GRACIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AR",
            "license": "80-24E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.