Organization Active NPI

Stephanie Matthews Counseling, LLC

  • Clinical Social Worker
  • Mena, AR
National Provider Identifier
1336846781
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STEPHANIE MATTHEWS COUNSELING, LLC
Practice address
1142 Highway 71 S Ste C
Mena, AR 71953-8078
Phone
(479) 385-0260
NPI assigned
Feb 15, 2023
Last updated
Feb 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Authorized official

Name
Stephanie MatthewsNPI 1164730867
Title
Owner
Phone
(479) 234-1531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1142 Highway 71 S Ste C
Mena, AR 71953-8078

Mailing address

419 Polk Road 71
Mena, AR 71953-8194
Phone (479) 234-1531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724000022 AR Part B Supplier - Clinic/Group Practice 5395105381 Receives reassigned benefits from 1 practitioner
Practice locations: Mena, AR

National Provider Directory

National Provider Directory

Locations

1106 Mena St
Mena, AR 71953
Phone (479) 437-3602

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1336846781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 POLK ROAD 71",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719538194",
            "telephone_number": "479-234-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 HIGHWAY 71 S STE C",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719538078",
            "telephone_number": "479-385-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE MATTHEWS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-234-1531"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.