TKW Counseling Service, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TKW COUNSELING SERVICE, LLC

Doing business as

Mountain Home Counseling

Practice address

860 Highway 62 E Ste 10
Mountain Home, AR 72653-3200

Phone

(870) 701-1400

Fax

(314) 667-3621

NPI assigned

Dec 5, 2023

Last updated

Jul 19, 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

Dr. Keith L. White, PHD

Title

Ceo/Business Manager

Phone

(417) 942-8230

Specialties & licenses 2

Addresses

Other names 1

• Mountain Home Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

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.

• Teresa Kay White, LPC

  • Professional Counselor
  • Mountain Home, AR
  • NPI 1073751301
  Medicare reassignment NPD

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1326815986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SOUTHERN HILLS DRIVE PMB400",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "945-328-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533200",
            "telephone_number": "870-701-1400",
            "fax_number": "314-667-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKW COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO/BUSINESS MANAGER",
        "authorized_official_telephone_number": "417-942-8230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Home Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.