Active NPI
Linda Storm
- Professional Counselor
- Heber Springs, AR
National Provider Identifier
1174835995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P9104008
- Practice address
- 408 South 7TH Street
Heber Springs, AR 72543 - Phone
- (501) 365-3022
- Fax
- (501) 365-3086
- NPI assigned
- Jul 9, 2010
- 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 | P9104008 | AR | Primary |
Addresses
Primary practice location
408 South 7TH Street
Heber Springs, AR 72543
Mailing address
408 Case St
Heber Springs, AR 72543-2407
Phone (501) 362-8019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T554 | Other | AR | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
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 |
|---|---|---|---|
| P9104008 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1174835995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 CASE ST",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725432407",
"telephone_number": "501-362-8019",
"fax_number": "501-365-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 SOUTH 7TH STREET",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "72543",
"telephone_number": "501-365-3022",
"fax_number": "501-365-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORM",
"first_name": "LINDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P9104008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
"identifier": "5T554",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Heber Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.