Organization Active NPI

Wendy J Poole LLC

  • Mental Health Counselor
  • Fayetteville, AR
National Provider Identifier
1528419819
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WENDY J POOLE LLC
Practice address
26 E Meadow St Ste 11
Fayetteville, AR 72701-5357
Phone
(479) 381-1652
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Wendy J Poole, LPCNPI 1730512815
Title
Coach and Counselor
Phone
(479) 381-1652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

26 E Meadow St Ste 11
Fayetteville, AR 72701-5357

Mailing address

475 N Elkins Rd
Fayetteville, AR 72704-9103
Phone (479) 381-1652

National Provider Directory

National Provider Directory

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": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1528419819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 N ELKINS RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727049103",
            "telephone_number": "479-381-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MEADOW ST STE 11",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015357",
            "telephone_number": "479-381-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY J POOLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COACH AND COUNSELOR",
        "authorized_official_telephone_number": "479-381-1652",
        "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 Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.