Mountain Town Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2185-C Issued in AR

Legal business name

MOUNTAIN TOWN COUNSELING

Practice address

4170 W Martin Luther King Blvd Ste 901
Fayetteville, AR 72704-7702

Phone

(479) 871-7449

NPI assigned

Feb 26, 2018

Last updated

Feb 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Kephart, LCSWNPI 1730497710

Title

Owner/Operator

Phone

(479) 871-7449

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Kephart, LCSW

  • Clinical Social Worker
  • Springdale, AR
  • NPI 1730497710
  NPD Authorized official
• Tasha Marie Finkus, LPC

  • Mental Health Counselor
  • Fayetteville, AR
  • NPI 1528291358
  NPD (past)

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1215438080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 W MARTIN LUTHER KING BLVD STE 901",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 W MARTIN LUTHER KING BLVD STE 901",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047702",
            "telephone_number": "479-871-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN TOWN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "KEPHART",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "479-871-7449",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2185-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyton Elizabeth Mosman
• Kiyah Moss
• Mark E Moss, MD
• Peggy Bynum Mott, RPH
• Jennifer P Moua
• Ashley N Mowrey
• Julia Elizabeth Mozes, PHARMD
• Claire Mueller
• Vaneeza Mukhtar
• Michael Muldoon, PLMSW

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.