Active NPI
Cip, Inc
- Adult Mental Health Clinic/Center
- Fayetteville, AR
National Provider Identifier
1245034693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CIP, INC
- Practice address
- 230 W Center St
Fayetteville, AR 72701-5934 - Phone
- (479) 459-7341
- NPI assigned
- Apr 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolanda L Nally, LCSW
- Title
- Owner
- Phone
- (479) 459-7341
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
230 W Center St
Fayetteville, AR 72701-5934
Mailing address
300 W 24TH St
Fayetteville, AR 72701-6979
Phone (479) 459-7341
Other practice location 1
300 W 24th St
Fayetteville, AR 72701-6979
Phone (479) 459-7341
Other names 1
- CIP, INC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Fayetteville, AR
- NPI 1275643678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743638400000",
"number": "1245034693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W 24TH ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016979",
"telephone_number": "479-459-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W CENTER ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015934",
"telephone_number": "479-459-7341"
}
],
"practiceLocations": [
{
"address_1": "300 W 24th St",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727016979",
"country_code": "US",
"telephone_number": "479-459-7341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CIP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A",
"authorized_official_last_name": "NALLY",
"authorized_official_first_name": "YOLANDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-459-7341",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CIP, INC",
"code": "5",
"type": "Other 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 Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.