Individual provider Active NPI

Kerri Kochel Garrison, LPC

  • Professional Counselor
  • Paragould, AR
National Provider Identifier
1194923805
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0609057 Issued in AR
Practice address
2420 Linwood Drive
Suite 1
Paragould, AR 72450
Phone
(870) 335-9985
Fax
(870) 236-5757
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0609057 AR Primary

Addresses

Primary practice location

2420 Linwood Drive
Suite 1
Paragould, AR 72450

Mailing address

1707 Linwood Dr Ste G
Paragould, AR 72450-5365
Phone (870) 604-4455

Other names 1

  • Mrs. Kerri Kochel Garrison Professional name

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
P0609057ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nextstep Counseling Services, LLC CurrentSince Aug 28, 2021 Accepting new patients
Life Strategies Counseling, Inc. Past Accepting new patients

Locations

1707 Linwood Dr
Ste G
Paragould, AR 72450
Phone (870) 604-4455

1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1194923805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE G",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505365",
            "telephone_number": "870-604-4455",
            "fax_number": "888-977-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LINWOOD DRIVE",
            "address_2": "SUITE 1",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-335-9985",
            "fax_number": "870-236-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "KERRI",
        "middle_name": "KOCHEL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0609057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "GARRISON",
            "middle_name": "KOCHEL",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.