Active NPI
Rhonda D Pierce, LPC, EDS
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1255701470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1607078
- Practice address
- 995 N Shiloh Dr
Fayetteville, AR 72701-1532 - Phone
- (501) 420-4693
- Fax
- (479) 750-4843
- NPI assigned
- Sep 30, 2015
- Last updated
- Oct 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1508112 | AR | |
| Professional Counselor | 101YP2500X | P1607078 | AR | Primary |
Addresses
Primary practice location
995 N Shiloh Dr
Fayetteville, AR 72701-1532
Mailing address
995 N Shiloh Dr
Fayetteville, AR 72701-1532
Phone (501) 420-4693
Other practice location 1
60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone (479) 695-1240
Other practice location 2
4126 W Stoney Bend Dr
Fayetteville, AR 72704-6397
Phone (501) 420-4693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P1607078 | Other | AR | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1508112 | AR | MD | Mental Health Counselor |
| P1607078 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1255701470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 N SHILOH DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727011532",
"telephone_number": "501-420-4693",
"fax_number": "479-750-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 N SHILOH DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727011532",
"telephone_number": "501-420-4693",
"fax_number": "479-750-4843"
}
],
"practiceLocations": [
{
"address_1": "60 W Sunbridge Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727031822",
"country_code": "US",
"telephone_number": "479-695-1240",
"fax_number": "479-750-4843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4126 W Stoney Bend Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727046397",
"country_code": "US",
"telephone_number": "501-420-4693",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERCE",
"first_name": "RHONDA",
"middle_name": "D",
"credential": "LPC, EDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1508112",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1607078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "P1607078",
"state": "AR"
}
],
"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 Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.