Individual provider Active NPI

Lauren Watts, LPC

  • Professional Counselor
  • Conway, AR
National Provider Identifier
1184041808
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1809114 Issued in AR
Practice address
317 Oak St Ste 3
Conway, AR 72032-5679
Phone
(501) 291-3091
NPI assigned
Mar 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1403050 AR
Professional Counselor 101YP2500X P1809114 AR Primary

Addresses

Primary practice location

317 Oak St Ste 3
Conway, AR 72032-5679

Mailing address

162 Mannie Rd
Bigelow, AR 72016-9651
Phone (501) 231-1966

Other practice location 1

350 Salem Rd
Suite 1
Conway, AR 72034-7525
Phone (501) 336-8300

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

LicenseStateTypeSpecialty
A1403050ARMDMental Health Counselor
P1809114ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Assessment Center, LLC CurrentSince Sep 27, 2020 Accepting new patients
Therapy Assessment Center LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

317 Oak St
Ste 3
Conway, AR 72032
Phone (501) 291-3091

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1184041808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MANNIE RD",
            "city": "BIGELOW",
            "state": "AR",
            "postal_code": "720169651",
            "telephone_number": "501-231-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 OAK ST STE 3",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325679",
            "telephone_number": "501-291-3091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Salem Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720347525",
            "country_code": "US",
            "telephone_number": "501-336-8300",
            "fax_number": "501-329-5508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LAUREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1403050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1809114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.