Organization Active NPI

Paragould Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paragould, AR
National Provider Identifier
1366190886
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Ms. Tiffany Leigh Felty, LCSWNPI 1477720951
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1477720951MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Paragould Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.