Active NPI
Thomas Edward Owens III, BA, CGCS, ICADC, SAP
- Addiction (Substance Use Disorder) Counselor
- Ozark, AR
National Provider Identifier
1558998419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 706 Alston St
Ozark, AR 72949-9789 - Phone
- (479) 209-0661
- NPI assigned
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 174114 | AR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2130 | AR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 829792 | AR | |
| Mental Health Counselor | 101YM0800X | SAP174114 | AR | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
706 Alston St
Ozark, AR 72949-9789
Mailing address
706 Alston St
Ozark, AR 72949-9789
Phone (479) 209-0661
Other names 1
- Mr. Tommy Edward Owens III
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174114 | AR | MD | Addiction (Substance Use Disorder) Counselor |
| 829792 | AR | MD | Addiction (Substance Use Disorder) Counselor |
| SAP174114 | AR | MD | Mental Health Counselor |
| 2130 | AR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1558998419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 ALSTON ST",
"city": "OZARK",
"state": "AR",
"postal_code": "729499789",
"telephone_number": "479-209-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 ALSTON ST",
"city": "OZARK",
"state": "AR",
"postal_code": "729499789",
"telephone_number": "479-209-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "BA, CGCS, ICADC, SAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AR",
"license": "174114",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AR",
"license": "2130",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AR",
"license": "829792",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "SAP174114",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TOMMY",
"last_name": "OWENS",
"middle_name": "EDWARD",
"prefix": "MR.",
"suffix": "III",
"credential": "BA, CGCS, ICADC, SAP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ozark, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.