Individual provider Active NPI

Paden Grant Timms

  • Professional Counselor
  • Searcy, AR
National Provider Identifier
1528531092
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2305024 Issued in AR
Practice address
915 West Beebe-Capps
Searcy, AR 72143
Phone
(017) 291-7000
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2305024 AR Primary

Addresses

Primary practice location

915 West Beebe-Capps
Searcy, AR 72143

Mailing address

915 W Beebe-Capps Expy
Searcy, AR 72143-3362
Phone (501) 729-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P2305024ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vine and Root LLC PastSince Nov 20, 2022 Accepting new patients
Capstone Wellness PastSince Oct 29, 2023 Accepting new patients
Counseling Associates, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1528531092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W BEEBE-CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721433362",
            "telephone_number": "501-729-1700",
            "fax_number": "877-310-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 WEST BEEBE-CAPPS",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "017-291-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMS",
        "first_name": "PADEN",
        "middle_name": "GRANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2305024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.