Organization Active NPI

Small Group Therapy, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Hot Springs, AR
National Provider Identifier
1255545729
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
0000 Issued in AR
Legal business name
SMALL GROUP THERAPY, INC.
Practice address
3875 Spring Street
Hot Springs, AR 71901-3407
Phone
(501) 623-3477
Fax
(501) 624-7498
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Wanda Raper
Title
Chief Executive Officer
Phone
(501) 623-3477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 0000 AR Primary

Addresses

Primary practice location

3875 Spring Street
Hot Springs, AR 71901-3407

Mailing address

311 Whittington Avenue
Hot Springs, AR 71901-3407
Phone (501) 623-3477

Other identifiers 1

IdentifierTypeStateIssuer
148023732MedicaidAR

Other names 1

  • Oakhill Lodge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairweather Communities3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1255545729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 WHITTINGTON AVENUE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013407",
            "telephone_number": "501-623-3477",
            "fax_number": "501-624-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 SPRING STREET",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013407",
            "telephone_number": "501-623-3477",
            "fax_number": "501-624-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL GROUP THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "RAPER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "501-623-3477"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AR",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148023732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakhill Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.