Organization Active NPI

Marryland Therapy and Consultation LLC

  • Clinical Social Worker
  • North Little Rock, AR
National Provider Identifier
1144041633
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARRYLAND THERAPY AND CONSULTATION LLC
Doing business as
Marryland Therapy and Consultation
Practice address
3508 John F Kennedy Blvd Ste 2
North Little Rock, AR 72116-8843
Phone
(501) 613-7831
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Mrs. Lecole Barnes, LCSWNPI 1780302745
Title
Manager
Phone
(501) 827-8126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3508 John F Kennedy Blvd Ste 2
North Little Rock, AR 72116-8843

Mailing address

PO Box 94554
North Little Rock, AR 72190-4554

Other names 1

  • Marryland Therapy and Consultation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1144041633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94554",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721904554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 JOHN F KENNEDY BLVD STE 2",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168843",
            "telephone_number": "501-613-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRYLAND THERAPY AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "LECOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-827-8126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marryland Therapy and Consultation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marryland Therapy and Consultation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.