Active NPI
Jo Ann Carter Kaminsky, M.ED., LPC,ATR-BC
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1316090806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P9503011
- Practice address
- 641 W 6TH St
Fayetteville, AR 72701-6444 - Phone
- (479) 587-1387
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P9503011 | AR | Primary |
Addresses
Primary practice location
641 W 6TH St
Fayetteville, AR 72701-6444
Mailing address
641 W 6TH St
Fayetteville, AR 72701-6444
Phone (479) 587-1387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T652 | Other | AR | BLUE CROSS BLUE SHIELD P# |
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9503011 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316090806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 W 6TH ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016444",
"telephone_number": "479-587-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 W 6TH ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727016444",
"telephone_number": "479-587-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER KAMINSKY",
"first_name": "JO",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.ED., LPC,ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P9503011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD P#",
"identifier": "5T652",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.