Individual provider Active NPI

Juliette Smith Minkel, MS, M.ED, LPC,RPT-S

  • Counselor
  • Fayetteville, AR
National Provider Identifier
1194935916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
P9609022 Issued in AR
Practice address
216 W South St
Fayetteville, AR 72701-5959
Phone
(479) 236-5631
Fax
(479) 527-6706
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X P9609022 AR Primary

Addresses

Primary practice location

216 W South St
Fayetteville, AR 72701-5959

Mailing address

525 W Cleburn St
Fayetteville, AR 72701-1918
Phone (479) 236-5631

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
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
P9609022ARMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194935916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W CLEBURN ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727011918",
            "telephone_number": "479-236-5631",
            "fax_number": "479-527-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W SOUTH ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015959",
            "telephone_number": "479-236-5631",
            "fax_number": "479-527-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKEL",
        "first_name": "JULIETTE",
        "middle_name": "SMITH",
        "name_prefix": "Ms.",
        "credential": "MS, M.ED, LPC,RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P9609022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.