Organization Active NPI

The Art Experience, Inc.

  • Community/Behavioral Health Agency
  • Fayetteville, AR
National Provider Identifier
1508239732
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE ART EXPERIENCE, INC.
Practice address
641 W Martin Luther King Blvd
Fayetteville, AR 72701-6444
Phone
(479) 442-0557
Fax
(479) 587-1387
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Jo Ann Kaminsky, MED, LPC
Title
Board President, Therapist
Phone
(479) 442-0557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

641 W Martin Luther King Blvd
Fayetteville, AR 72701-6444

Mailing address

641 W Martin Luther King Blvd
Fayetteville, AR 72701-6444
Phone (479) 442-0557

National Provider Directory

National Provider Directory

Locations

641 W Martin Luther King Jr Blvd
Fayetteville, AR 72701
Phone (479) 442-0557

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1508239732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016444",
            "telephone_number": "479-442-0557",
            "fax_number": "479-587-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016444",
            "telephone_number": "479-442-0557",
            "fax_number": "479-587-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ART EXPERIENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "KAMINSKY",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BOARD PRESIDENT, THERAPIST",
        "authorized_official_telephone_number": "479-442-0557",
        "authorized_official_credential": "MED, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.