Active NPI
Robyn Lea Nelson, M.S., ED.S.
- Professional Counselor
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A1605065
- Practice address
- 1003 SE 14TH St Ste 4
Bentonville, AR 72712-6897 - Phone
- (479) 903-1988
- Fax
- (479) 319-6570
- NPI assigned
- Mar 29, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A1605065 | AR | Primary |
Addresses
Primary practice location
1003 SE 14TH St Ste 4
Bentonville, AR 72712-6897
Mailing address
4072 Caerleon Cir
Bentonville, AR 72712-7651
Phone (479) 903-1988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
22 W Sunbrdge Dr
Fayetteville, AR 72703-1822
305 SW 18TH St
Suite 7
Bentonville, AR 72712-8477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1605065 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robyn Nelson Counseling, PLLC | Professional | Current | Accepting new patients |
Locations
305 SW 18th St
Ste 7
Bentonville, AR 72712
Phone (479) 319-6579
1003 SE 14th St
Ste 4
Bentonville, AR 72712
Phone (479) 319-6579
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.
-
dba 4 Rivers Counseling, PLLC
- Professional Counselor
- Bentonville, AR
- NPI 1902306343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1164927281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4072 CAERLEON CIR",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127651",
"telephone_number": "479-903-1988",
"fax_number": "479-319-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 SE 14TH ST STE 4",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727126897",
"telephone_number": "479-903-1988",
"fax_number": "479-319-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ROBYN",
"middle_name": "LEA",
"credential": "M.S., ED.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "A1605065",
"primary": true
}
],
"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 Mar 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.