Active NPI
Michelle L Carpenter, LPC
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1235506213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1703276
- Practice address
- 102 E Sunbridge Dr Ste 10
Fayetteville, AR 72703 - Phone
- (479) 234-1365
- NPI assigned
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1502037 | AR | |
| Professional Counselor | 101YP2500X | P1703276 | AR | Primary |
Addresses
Primary practice location
102 E Sunbridge Dr Ste 10
Fayetteville, AR 72703
Mailing address
102 E Sunbridge Dr Ste 10
Fayetteville, AR 72703-2853
Phone (479) 234-1365
Other practice location 1
4241 N Gabel Dr Ste 2B
Fayetteville, AR 72703
Phone (479) 234-1365
Other practice location 2
4241 N Gabel Dr Ste 2B
Fayetteville, AR 72703
Phone (479) 234-1365
Other names 1
- Michelle L Baugh
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
| License | State | Type | Specialty |
|---|---|---|---|
| A1502037 | AR | MD | Mental Health Counselor |
| P1703276 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1235506213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E SUNBRIDGE DR STE 10",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032853",
"telephone_number": "479-234-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E SUNBRIDGE DR STE 10",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-234-1365"
}
],
"practiceLocations": [
{
"address_1": "4241 N Gabel Dr Ste 2B",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "72703",
"country_code": "US",
"telephone_number": "479-234-1365",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4241 N Gabel Dr Ste 2B",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "72703",
"country_code": "US",
"telephone_number": "479-234-1365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1502037",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1703276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BAUGH",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}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 Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.