Adventure Play Counseling, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

ADVENTURE PLAY COUNSELING, LLC

Practice address

1500 Main St
Van Buren, AR 72956-4731

Phone

(479) 242-3200

NPI assigned

Dec 1, 2021

Last updated

Dec 1, 2021By 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

Lynae Otten, LCSWNPI 1982857934

Title

Social Worker

Phone

(712) 363-7942

Specialties & licenses 1

Addresses

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.

• Lynae Joy Otten, LCSW

  • Clinical Social Worker
  • Van Buren, AR
  • NPI 1982857934
  NPD Authorized official

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1447918099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 WOODWIND WAY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562044",
            "telephone_number": "712-363-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MAIN ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564731",
            "telephone_number": "479-242-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE PLAY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "OTTEN",
        "authorized_official_first_name": "LYNAE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "712-363-7942",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Adair, SLP
• Bethany Adams, MS CFY
• Rebecca Adams
• Addiction Resources LLC (Addiction Resources)
• Adolescent and Family Advocates
• Anakaren Alarcon
• Kathy Ann Alexander, PHYSICALTHERAPY ASST
• Destiny Faith Allred
• Alternative Opportunities (Dayspring Behavioral Health of Van Buren)
• Shelbie Alves

• Social Worker in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.