Active NPI
Lauren Watts, LPC
- Professional Counselor
- Conway, AR
National Provider Identifier
1184041808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1809114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A1403050 | AR | MD | Mental Health Counselor |
| P1809114 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Assessment Center, LLC | Current | Accepting new patients | |
| Therapy Assessment Center LLC | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Conway, AR
- NPI 1487492153
-
- Group Psychotherapy Psychologist
- Conway, AR
- NPI 1093184210
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.