Midtown Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

P1209086 Issued in AR

Legal business name

MIDTOWN COUNSELING

Practice address

1845 N Green Acres Rd
Fayetteville, AR 72703-2615

Phone

(479) 650-8994

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Samuel Daily

Title

Licensed Professional Counselor

Phone

(479) 650-8994

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1215305966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032615",
            "telephone_number": "479-650-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "DAILY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "479-650-8994"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "P1209086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Waggoner OD PA
• Kiera Camille Michailoff-Russell, LPC
• Sophia J Michalak, LPC
• Desiree Carolina Middlebrook
• Anthony David Middleton
• Mark L Miedema, M.D.
• Mike Buffington, M.D., P.a.
• Andrew Mikles
• Miles M Johnson, M.D. P.a. (Northwest Arkansas EMG Clinic)
• Millennium Dental, PLLC

• Community/Behavioral Health Agency in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.