Individual provider Active NPI

Janelle Ruriko Von Storch, LPC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1548464852
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0806052 Issued in AR
Practice address
5507 Ranch Dr Ste 207
Little Rock, AR 72223-0043
Phone
(501) 291-3732
Fax
(501) 251-1091
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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 P0806052 AR Primary

Addresses

Primary practice location

5507 Ranch Dr Ste 207
Little Rock, AR 72223-0043

Mailing address

306 Shadow View Dr
Little Rock, AR 72211-3255
Phone (501) 772-4719

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
P0806052ARMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1548464852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SHADOW VIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113255",
            "telephone_number": "501-772-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 RANCH DR STE 207",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230043",
            "telephone_number": "501-291-3732",
            "fax_number": "501-251-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON STORCH",
        "first_name": "JANELLE",
        "middle_name": "RURIKO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0806052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.