Organization Active NPI

Tciy Counseling, Inc.

  • Professional Counselor
  • Bentonville, AR
National Provider Identifier
1114693744
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TCIY COUNSELING, INC.
Practice address
1001 SE 28TH St Ste 3
Bentonville, AR 72712-3206
Phone
(479) 295-3325
Fax
(888) 630-4808
NPI assigned
Aug 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Authorized official

Name
Carla J Jones, LPC, LMFT
Title
Clinical Director
Phone
(620) 235-9768

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1001 SE 28TH St Ste 3
Bentonville, AR 72712-3206

Mailing address

1001 SE 28TH St Ste 3
Bentonville, AR 72712-3206
Phone (479) 295-3325

Other practice location 1

703 N Thompson St
Springdale, AR 72764-3205
Phone (479) 295-3325

National Provider Directory

National Provider Directory

Locations

1001 SE 28th St
Ste 3
Bentonville, AR 72712
Phone (479) 403-2915

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1114693744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE 28TH ST STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123206",
            "telephone_number": "479-295-3325",
            "fax_number": "888-630-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE 28TH ST STE 3",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123206",
            "telephone_number": "479-295-3325",
            "fax_number": "888-630-4808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 N Thompson St",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727643205",
            "country_code": "US",
            "telephone_number": "479-295-3325",
            "fax_number": "888-630-4808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TCIY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "620-235-9768",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.