NPIMap

Organization Active NPI

Agape Center, LLC

  • Professional Counselor
  • Bentonville, AR
National Provider Identifier
1437801164
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AGAPE CENTER, LLC
Practice address
3400 SE Macy Rd Ste 28
Bentonville, AR 72712-7841
Phone
(479) 321-2818
Fax
(479) 358-1448
NPI assigned
Jan 24, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Corretta C Woodard, LPCNPI 1174009781
Title
Owner/Clinician
Phone
(479) 321-2818

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3400 SE Macy Rd Ste 28
Bentonville, AR 72712-7841

Mailing address

PO Box 1023
Bentonville, AR 72712-1023
Phone (479) 321-2818

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1437801164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727121023",
            "telephone_number": "479-321-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SE MACY RD STE 28",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127841",
            "telephone_number": "479-321-2818",
            "fax_number": "479-358-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "CORRETTA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "479-321-2818",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

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

Verify at the official NPI Registry.