Active NPI
William J Fretwell, LAC
- Counselor
- Barling, AR
National Provider Identifier
1114246808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 10301 Mayo Dr
Barling, AR 72923-1660 - Phone
- (479) 494-5700
- Fax
- (479) 484-8142
- NPI assigned
- May 20, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
10301 Mayo Dr
Barling, AR 72923-1660
Mailing address
3352 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-1427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213003325 | VA | Practitioner - Mental Health Counselor | 8022451418 | Reassigns benefits to 1 organization |
| I20240627003059 | AL | Practitioner - Mental Health Counselor | 8022451418 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMSC Az LLC | Current | Accepting new patients |
Locations
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
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": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1114246808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3352 N FUTRALL DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034057",
"telephone_number": "479-521-1427",
"fax_number": "479-521-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 MAYO DR",
"city": "BARLING",
"state": "AR",
"postal_code": "729231660",
"telephone_number": "479-494-5700",
"fax_number": "479-484-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRETWELL",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-20",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barling, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.