Active NPI
Jonna Michelle McCutcheon, LPC
- Professional Counselor
- Rogers, AR
National Provider Identifier
1376818674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1506074
- Practice address
- 901 S Rainbow Rd
Rogers, AR 72758-1637 - Phone
- (479) 254-1144
- Fax
- (479) 254-1099
- NPI assigned
- Mar 20, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1203019 | AR | |
| Mental Health Counselor | 101YM0800X | P1506074 | AR | |
| Professional Counselor | 101YP2500X | P1506074 | AR | Primary |
Addresses
Primary practice location
901 S Rainbow Rd
Rogers, AR 72758-1637
Mailing address
901 S Rainbow Rd
Rogers, AR 72758-1637
Phone (479) 254-1144
Other practice location 1
522 Mill Rd
Clarksville, AR 72830-8511
Phone (501) 315-3344
Other practice location 2
818 N Creek Dr
Conway, AR 72032-4711
Phone (501) 327-9788
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1203019 | AR | MD | Mental Health Counselor |
| P1506074 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1376818674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S RAINBOW RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581637",
"telephone_number": "479-254-1144",
"fax_number": "479-254-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S RAINBOW RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581637",
"telephone_number": "479-254-1144",
"fax_number": "479-254-1099"
}
],
"practiceLocations": [
{
"address_1": "522 Mill Rd",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "AR",
"postal_code": "728308511",
"country_code": "US",
"telephone_number": "501-315-3344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "818 N Creek Dr",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "AR",
"postal_code": "720324711",
"country_code": "US",
"telephone_number": "501-327-9788",
"fax_number": "501-327-9843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCUTCHEON",
"first_name": "JONNA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1203019",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1506074",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1506074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.