Active NPI
Tciy Counseling, Inc.
- Professional Counselor
- Bentonville, AR
National Provider Identifier
1114693744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Clinical Social Worker | 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 DirectoryLocations
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.