Active NPI
Wendy J Poole LLC
- Mental Health Counselor
- Fayetteville, AR
National Provider Identifier
1528419819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy J Poole, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Counselor
- Fayetteville, AR
- NPI 1730512815
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.