Stable Minded, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STABLE MINDED, LLC

Practice address

4415 N 2ND St
Rogers, AR 72756-7413

Phone

(479) 397-1807

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Kelly King

Title

Billing/Credentialing Manager

Phone

(479) 366-4241

Specialties & licenses 2

Addresses

Other names 1

• Stable Minded Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Summer Glass

  • Social Worker
  • Rogers, AR
  • NPI 1407217532
  NPD

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1245961986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 OLD DUTCH ELBOW",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727567862",
            "telephone_number": "954-817-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727567413",
            "telephone_number": "479-397-1807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 SE 5th St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727126090",
            "country_code": "US",
            "telephone_number": "479-397-1807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STABLE MINDED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "479-366-4241"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "referral number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 SE 5th St Ste 4",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727126090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stable Minded",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Francis House Nwa, Inc.
• St. Mary - Rogers Memorial Hospital Dba Friends House
• St. Mary-Rogers Memorial Hospital
• St. Mary-Rogers Memorial Hospital
• St. Mary'S Rogers Memorial Hospital
• David Heath Stacey, M.D.
• Charollet Stamper
• Lila Diane Standefer
• Belinda R Starkey, O.D.
• Brynne Starr, BCBA

• Clinical Social Worker in Rogers, AR
• Providers in Rogers, 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 Jun 22, 2022; 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.