Linnberry Wellness Center PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LINNBERRY WELLNESS CENTER PLLC

Doing business as

Linnberry Creative Counseling

Practice address

20655 Russell Corner Rd
Gravette, AR 72736-8955

Phone

(479) 366-2279

NPI assigned

Jun 13, 2023

Last updated

Jun 13, 2023By 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

Pennie Berry, MS, LPC, LMFTNPI 1902483993

Title

Owner

Phone

(479) 366-2279

Specialties & licenses 1

Addresses

Other names 1

• LINNBERRY CREATIVE COUNSELING Doing business as

Practitioners 1

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.

• Pennie Berry, MS, LPC, LMFT

  • Mental Health Counselor
  • Gravette, AR
  • NPI 1902483993
  NPD Authorized official

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1235813932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "GRAVETTE",
            "state": "AR",
            "postal_code": "727360285",
            "telephone_number": "479-366-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20655 RUSSELL CORNER RD",
            "city": "GRAVETTE",
            "state": "AR",
            "postal_code": "727368955",
            "telephone_number": "479-366-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINNBERRY WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "PENNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-366-2279",
        "authorized_official_credential": "MS, LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINNBERRY CREATIVE COUNSELING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vijay Kumar Kannam, M.D.
• Amber Michelle Karr
• Heidi Knipple
• Kristi L Kroona, CRNA
• Tamra T Lamer, APRN
• Jennifer Charleene Love, LCSW
• Tracy Leigh Lowry, FNP-C
• Melissa Maybury, NP
• Lisa J McKee, M.S., SLP-CCC
• Glen F McSpadden, M.D.

• Mental Health Counselor in Gravette, AR
• Providers in Gravette, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.