Elizabeth Standage, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2302017 Issued in AR

Practice address

800 Exchange Ave Ste 103
Conway, AR 72032-7833

Phone

(501) 701-2230

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Integrative Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1679216972
  NPD (past)

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1417654658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 CRIMSON CLOVER DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347558",
            "telephone_number": "501-802-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EXCHANGE AVE STE 103",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327833",
            "telephone_number": "501-701-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDAGE",
        "first_name": "ELIZABETH",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2302017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Staley, MD
• Kimberly Staley, MS CCC-SLP
• Camden Stallard
• Stancil Raney Medicine PA
• Vicki Lee Stancil, M.D.
• Hannah Standage, LAC
• Jana Marie Standfill
• Piper Standridge
• Ellen Stanfield
• Sydney Lee Stanisch

• Mental Health Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.