Active NPI
Amy Garcia, LAC
- Mental Health Counselor
- Springdale, AR
National Provider Identifier
1134950447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2307024
- Practice address
- 777 Mathias Dr Ste a
Springdale, AR 72762-0816 - Phone
- (479) 222-0663
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A2307024 | AR | Primary |
Addresses
Primary practice location
777 Mathias Dr Ste a
Springdale, AR 72762-0816
Mailing address
3000 Finch St
Springdale, AR 72762-7038
Phone (757) 696-6468
Other practice location 1
3000 Finch St
Springdale, AR 72762-7038
Phone (757) 696-6468
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2307024 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1134950447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 FINCH ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727627038",
"telephone_number": "757-696-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 MATHIAS DR STE A",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620816",
"telephone_number": "479-222-0663"
}
],
"practiceLocations": [
{
"address_1": "3000 Finch St",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727627038",
"country_code": "US",
"telephone_number": "757-696-6468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "AMY",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2307024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.