Active NPI
Aaron Lee Matthews Sr., LPC
- Professional Counselor
- Bentonville, AR
National Provider Identifier
1295081529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1502009
- Practice address
- 809 SE 28TH St Ste 1
Bentonville, AR 72712-4268 - Phone
- (479) 936-1645
- NPI assigned
- Jul 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1502009 | AR | Primary |
Addresses
Primary practice location
809 SE 28TH St Ste 1
Bentonville, AR 72712-4268
Mailing address
809 SE 28TH St Ste 1
Bentonville, AR 72712-4268
Phone (479) 936-1645
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 |
|---|---|---|---|
| P1502009 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wholehearted Counseling, LLC | Professional | Current | Accepting new patients |
Locations
809 SE 28th St
#1
Bentonville, AR 72712
Phone (479) 657-8100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1295081529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 SE 28TH ST STE 1",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124268",
"telephone_number": "479-936-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 SE 28TH ST STE 1",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124268",
"telephone_number": "479-936-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "AARON",
"middle_name": "LEE",
"name_suffix": "Sr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-24",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1502009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.