Resilient Waves Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RESILIENT WAVES COUNSELING LLC

Practice address

3811 Rogers Ave Ste C7
Fort Smith, AR 72903-3045

Phone

(479) 430-2300

Fax

(844) 430-0199

NPI assigned

Jan 18, 2022

Last updated

Nov 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reianna Garner, LPCNPI 1164782124

Title

President

Phone

(479) 430-2300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reianna Garner, LPC

  • Professional Counselor
  • Fort Smith, AR
  • NPI 1164782124
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1417609744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 ROGERS AVE STE C7",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033045",
            "telephone_number": "479-430-2300",
            "fax_number": "844-430-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 ROGERS AVE STE C7",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033045",
            "telephone_number": "479-430-2300",
            "fax_number": "844-430-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT WAVES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "REIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-430-2300",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Medical Group of Arkansas LTD
• Kelsey Renihan
• Matthew C Renner, OD
• Jana Leighette Reno
• Bindu Repala, MD
• Resilient Youth Counseling LLC
• Stanley Louis Reyenga, M.D.
• Diana Reyes Macias, APRN
• Michelle Reyes Macias, APRN-CNP
• Dinora Morales Reyes, LPC

• Professional Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.