Organization Active NPI

Holistic Counseling & Consulting, PLLC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1386193985
Registry record updated Sep 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1609132 Issued in AR
Legal business name
HOLISTIC COUNSELING & CONSULTING, PLLC
Practice address
7101 W 12TH St
Suite 303
Little Rock, AR 72204-2404
Phone
(501) 400-8077
Fax
(501) 400-8077
NPI assigned
Sep 25, 2016
Last updated
Sep 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2016

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

Authorized official

Name
Mrs. Shawonda N Brown-Irby, MA., LPC
Title
Licensed Professional Counselor
Phone
(501) 744-4918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1609132 AR Primary

Addresses

Primary practice location

7101 W 12TH St
Suite 303
Little Rock, AR 72204-2404

Mailing address

7101 W 12TH St
Suite 303
Little Rock, AR 72204-2404
Phone (501) 400-8077

Other identifiers 1

IdentifierTypeStateIssuer
1558752634MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474761600000",
    "number": "1386193985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 W 12TH ST",
            "address_2": "SUITE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042404",
            "telephone_number": "501-400-8077",
            "fax_number": "501-400-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W 12TH ST",
            "address_2": "SUITE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042404",
            "telephone_number": "501-400-8077",
            "fax_number": "501-400-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-25",
        "last_updated": "2016-09-25",
        "status": "A",
        "authorized_official_last_name": "BROWN-IRBY",
        "authorized_official_first_name": "SHAWONDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "501-744-4918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1609132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558752634",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; 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.