NPIMap

Organization Active NPI

Daily Bread Counseling

  • Mental Health Counselor
  • Benton, AR
National Provider Identifier
1558694802
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P9903009 Issued in AR
Legal business name
DAILY BREAD COUNSELING
Practice address
200 N Market St
Benton, AR 72015-3733
Phone
(501) 847-2229
Fax
(501) 847-8608
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Mr. Garry Dean Teeter, LPCNPI 1902874209
Title
Owner
Phone
(501) 847-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P9903009 AR Primary
Psychoanalyst 102L00000X P9903009 AR

Addresses

Primary practice location

200 N Market St
Benton, AR 72015-3733

Mailing address

PO Box 298
Bryant, AR 72089-0298
Phone (501) 847-2229

Other identifiers 1

IdentifierTypeStateIssuer
142495019MedicaidAR

National Provider Directory

National Provider Directory

Locations

200 N Market St
Benton, AR 72015
Phone (501) 847-2229

Practitioners & affiliated clinicians

Practitioners 4

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": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1558694802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720890298",
            "telephone_number": "501-847-2229",
            "fax_number": "501-847-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MARKET ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153733",
            "telephone_number": "501-847-2229",
            "fax_number": "501-847-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY BREAD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "TEETER",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-847-2229",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P9903009",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "AR",
            "license": "P9903009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142495019",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.