Active NPI
Paragould Counseling LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paragould, AR
National Provider Identifier
1366190886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PARAGOULD COUNSELING LLC
- Practice address
- 7978 Highway 412 W
Paragould, AR 72450-8014 - Phone
- (870) 240-6262
- Fax
- (870) 617-0977
- NPI assigned
- Mar 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tiffany Leigh Felty, LCSW
- Title
- Ceo
- Phone
- (870) 240-6262
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
7978 Highway 412 W
Paragould, AR 72450-8014
Mailing address
7978 Highway 412 W
Paragould, AR 72450-8014
Phone (870) 240-6262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477720951 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- Paragould Counseling LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paragould, AR
- NPI 1144942095
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Paragould, AR
- NPI 1477720951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1366190886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7978 HIGHWAY 412 W",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724508014",
"telephone_number": "870-240-6262",
"fax_number": "870-617-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7978 HIGHWAY 412 W",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724508014",
"telephone_number": "870-240-6262",
"fax_number": "870-617-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAGOULD COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "FELTY",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-240-6262",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477720951",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.