Organization Active NPI

Daniel Grace Counseling and Supervision, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain Home, AR
National Provider Identifier
1417518523
Registry record updated Jun 28, 2019
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
DANIEL GRACE COUNSELING AND SUPERVISION, PLLC
Practice address
1219 Commerce Dr Ste 3
Mountain Home, AR 72653-2604
Phone
(870) 926-6280
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Daniel Ray Grace, LPCNPI 1427320258
Title
Owner/Practioner
Phone
(870) 926-6280

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

1219 Commerce Dr Ste 3
Mountain Home, AR 72653-2604

Mailing address

1645 County Road 625
Mountain Home, AR 72653-6185
Phone (870) 926-6280

National Provider Directory

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": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1417518523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 COUNTY ROAD 625",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536185",
            "telephone_number": "870-926-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 COMMERCE DR STE 3",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532604",
            "telephone_number": "870-926-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL GRACE COUNSELING AND SUPERVISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "870-926-6280",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.