NPIMap

Organization Active NPI

Natural State Counseling Centers

  • Mental Health Counselor
  • Rogers, AR
National Provider Identifier
1497538383
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NATURAL STATE COUNSELING CENTERS
Practice address
210 E Locust St
Rogers, AR 72756-3834
Phone
(479) 360-9080
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Rodney Fry, LPCNPI 1093317166
Title
Owner
Phone
(470) 802-8022

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

210 E Locust St
Rogers, AR 72756-3834

Mailing address

210 E Locust St
Rogers, AR 72756-3834
Phone (479) 360-9080

Other practice location 1

4019 N Remington Dr
Fayetteville, AR 72703-6344
Phone (470) 360-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130001327 AR Part B Supplier - Clinic/Group Practice 3779936497 Receives reassigned benefits from 6 practitioners
Practice locations: Fayetteville, AR; Rogers, AR

National Provider Directory

National Provider Directory

Locations

4019 N Remington Dr
Fayetteville, AR 72703
Phone (479) 360-9080

210 E Locust St
Rogers, AR 72756
Phone (479) 360-9080

Practitioners & affiliated clinicians

Practitioners 9

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": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1497538383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E LOCUST ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563834",
            "telephone_number": "479-360-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E LOCUST ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563834",
            "telephone_number": "479-360-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4019 N Remington Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727036344",
            "country_code": "US",
            "telephone_number": "470-360-9080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATURAL STATE COUNSELING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-802-8022",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.