Active NPI
Gemma Siebert
- Counselor
- Berryville, AR
National Provider Identifier
1174005094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1004 S Main St
Berryville, AR 72616-4330 - Phone
- (870) 423-1077
- NPI assigned
- Sep 6, 2018
- Last updated
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
1004 S Main St
Berryville, AR 72616-4330
Mailing address
208 N Springfield Ave Apt 2
Green Forest, AR 72638-2459
Phone (708) 305-6754
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1174005094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N SPRINGFIELD AVE APT 2",
"city": "GREEN FOREST",
"state": "AR",
"postal_code": "726382459",
"telephone_number": "708-305-6754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 S MAIN ST",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726164330",
"telephone_number": "870-423-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBERT",
"first_name": "GEMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.