NPIMap

Organization Active NPI

Nwaci

  • Adult Mental Health Clinic/Center
  • Springdale, AR
National Provider Identifier
1184773178
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
P0407033 Issued in AR
Legal business name
NWACI
Practice address
130 Spring St
Springdale, AR 72764-4567
Phone
(479) 751-5704
Fax
(479) 750-7050
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
William Duane Oldham, LPC
Title
Professional Counselor
Phone
(479) 751-5704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X P0407033 AR Primary

Addresses

Primary practice location

130 Spring St
Springdale, AR 72764-4567

Mailing address

130 Spring St
Springdale, AR 72764-4567
Phone (479) 751-5704

National Provider Directory

National Provider Directory
Tax ID family
Northwest Arkansas Counseling Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 Spring St
Springdale, AR 72764
Phone (479) 751-5704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1184773178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SPRING ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644567",
            "telephone_number": "479-751-5704",
            "fax_number": "479-750-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SPRING ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644567",
            "telephone_number": "479-751-5704",
            "fax_number": "479-750-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWACI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "479-751-5704",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AR",
            "license": "P0407033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.