Servant's Heart Outreach

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SERVANT'S HEART OUTREACH

Practice address

1200 W Walnut St Ste 1402
Rogers, AR 72756-3521

Phone

(417) 268-8086

NPI assigned

Jan 15, 2019

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

T Nicole Farrow, MS, ED.S, NCC, LPC

Title

President

Phone

(417) 268-8086

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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.

• T Nicole St Clair, LPC

  • Counselor
  • Rogers, AR
  • NPI 1952875916

  MO

  Medicare reassignment NPD
• James Darrel Bryars, LCSW

  • Clinical Social Worker
  • Rogers, AR
  • NPI 1194556753
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1306310008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT ST STE 1400J",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563521",
            "telephone_number": "417-268-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT ST STE 1402",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563521",
            "telephone_number": "417-268-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT'S HEART OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "T NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-268-8086",
        "authorized_official_credential": "MS, ED.S, NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucker Seifert
• Emily Seiler
• Jill Elizabeth Self-Pike, D.M.D
• Courtney Sellars, QBHP
• Serc Rehabilitation Partners LLC (SERC - Rogers)
• Setrek Corporation (Home Instead Senior Care)
• Melita Setser, PTA
• Tyler James Severson, M.D.
• Margaret Lynne Sexton, APRN
• Sgoh Acquisition Inc (Och Benton County Clinic)

• Professional Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.