NPIMap

Organization Active NPI

Counseling Clinic, Inc.

  • Community/Behavioral Health Agency
  • Hot Springs, AR
National Provider Identifier
1578870663
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CERTIFIED (NO NUMBER Issued in AR
Legal business name
COUNSELING CLINIC, INC.
Practice address
310 Whittington Ave
Hot Springs, AR 71901-3406
Phone
(501) 623-3477
Fax
(501) 624-7498
NPI assigned
Sep 10, 2010
Last updated
Aug 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Robert Bennett, LCSWNPI 1467778175
Title
Ceo
Phone
(501) 315-4224

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CERTIFIED (NO NUMBER AR Primary

Addresses

Primary practice location

310 Whittington Ave
Hot Springs, AR 71901-3406

Mailing address

110 Pearson
Benton, AR 72015-4436
Phone (501) 315-4224

Other identifiers 1

IdentifierTypeStateIssuer
182550526MedicaidAR

Other names 1

  • Small Group Therapy Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050114000834 AR Part B Supplier - Clinic/Group Practice 6204885304 Receives reassigned benefits from 43 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Benton, AR; Hot Springs, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Counseling Clinic Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

307 E Sevier St
Benton, AR 72015
Phone (501) 315-4224

Practitioners & affiliated clinicians

Practitioners 98

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.

View all 98

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1578870663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PEARSON",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154436",
            "telephone_number": "501-315-4224",
            "fax_number": "501-778-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WHITTINGTON AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013406",
            "telephone_number": "501-623-3477",
            "fax_number": "501-624-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-315-4224",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "CERTIFIED (NO NUMBER",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182550526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Group Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Small Group Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.