Organization Active NPI

Northwest Arkansas Psychotherapy, PLLC

  • Community/Behavioral Health Agency
  • Rogers, AR
National Provider Identifier
1467182923
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTHWEST ARKANSAS PSYCHOTHERAPY, PLLC
Practice address
904 Lakeview Dr
Rogers, AR 72756-3010
Phone
(501) 613-7396
NPI assigned
Jun 15, 2022
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Joshua Duncan, LPCNPI 1770845646
Title
Member
Phone
(501) 613-7396

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

904 Lakeview Dr
Rogers, AR 72756-3010

Mailing address

PO Box 184
Rogers, AR 72757-0184
Phone (501) 613-7396

Other practice location 1

1001 SE 28th St
Bentonville, AR 72712-3205
Phone (501) 613-7396

National Provider Directory

National Provider Directory

Locations

1001 SE 28th St
Bentonville, AR 72712
Phone (479) 403-2915

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1467182923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 184",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727570184",
            "telephone_number": "501-613-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 LAKEVIEW DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563010",
            "telephone_number": "501-613-7396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 SE 28th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727123205",
            "country_code": "US",
            "telephone_number": "501-613-7396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-613-7396",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.