Organization Active NPI

Soul Purpose, LLC

  • Counselor
  • Fayetteville, AR
National Provider Identifier
1255046439
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SOUL PURPOSE, LLC
Practice address
2013 N Green Acres Rd Ste C
Fayetteville, AR 72703-2600
Phone
(479) 477-2352
Fax
(888) 375-3830
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Dr. Morgan McGowan, PHDNPI 1417333170
Title
Owner
Phone
(479) 477-2352

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

2013 N Green Acres Rd Ste C
Fayetteville, AR 72703-2600

Mailing address

PO Box 964
Fayetteville, AR 72702-0964
Phone (479) 477-2352

National Provider Directory

National Provider Directory

Locations

124 W Sunbridge Dr
Ste 5
Fayetteville, AR 72703
Phone (479) 900-2455

2013 N Green Acres Rd
Ste C
Fayetteville, AR 72703
Phone (479) 477-2352

2907 E Joyce Blvd
Ste 13
Fayetteville, AR 72703

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1255046439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 964",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727020964",
            "telephone_number": "479-477-2352",
            "fax_number": "888-375-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 N GREEN ACRES RD STE C",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032600",
            "telephone_number": "479-477-2352",
            "fax_number": "888-375-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL PURPOSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-477-2352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 14, 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.