NPIMap

Organization Active NPI

Vineyard Counseling LLC

  • Mental Health Counselor
  • Bentonville, AR
National Provider Identifier
1245070762
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VINEYARD COUNSELING LLC
Practice address
2703 SE G St Ste 2
Bentonville, AR 72712-3740
Phone
(479) 368-2911
Fax
(479) 391-5254
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Jonathan Rucker, LPCNPI 1831808294
Title
Owner
Phone
(479) 368-2911

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2703 SE G St Ste 2
Bentonville, AR 72712-3740

Mailing address

13767 Pella LN
Neosho, MO 64850-8781
Phone (479) 368-2911

Other practice location 1

512 E 32nd St Ste 210
Joplin, MO 64804-3903
Phone (479) 368-2911

Other names 1

  • Vineyard Family Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

2703 SE G St
Ste 1
Bentonville, AR 72712
Phone (479) 254-1975

2703 SE G St
Ste 2
Bentonville, AR 72712
Phone (479) 368-2911

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1245070762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13767 PELLA LN",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648508781",
            "telephone_number": "479-368-2911",
            "fax_number": "479-391-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 SE G ST STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-368-2911",
            "fax_number": "479-391-5254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 E 32nd St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043903",
            "country_code": "US",
            "telephone_number": "479-368-2911",
            "fax_number": "479-391-5254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VINEYARD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-368-2911",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Family Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.