Organization Active NPI

True Self Therapy, P-LLC

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1457004202
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRUE SELF THERAPY, P-LLC
Practice address
5506 W Markham St
Little Rock, AR 72205-3412
Phone
(404) 808-7511
Fax
(855) 877-0663
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Mrs. Courtney Amanda Frierson, LCSWNPI 1881979193
Title
Owner
Phone
(404) 808-7511

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5506 W Markham St
Little Rock, AR 72205-3412

Mailing address

5506 W Markham St
Little Rock, AR 72205-3412
Phone (404) 808-7511

Other identifiers 2

IdentifierTypeStateIssuer
2607-COtherARSOCIAL WORK LICENSING BOARD NUMBER
E6917OtherARBCBS FILING ID

Other names 1

  • Sat Nam Yoga Therapy, P-LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address courtney@TrueSelfTherapyAR.com Direct

National Provider Directory

National Provider Directory

Locations

5506 W Markham St
Little Rock, AR 72205
Phone (501) 612-7254

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": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1457004202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053412",
            "telephone_number": "404-808-7511",
            "fax_number": "855-877-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053412",
            "telephone_number": "404-808-7511",
            "fax_number": "855-877-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE SELF THERAPY, P-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "FRIERSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-808-7511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSING BOARD NUMBER",
            "identifier": "2607-C",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FILING ID",
            "identifier": "E6917",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney@TrueSelfTherapyAR.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPAA Compliant Gmail",
            "address_1": "5506 W Markham St",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722053412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sat Nam Yoga Therapy, P-LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

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