NPIMap

Organization Active NPI

Northwest Counseling, Inc.

  • Professional Counselor
  • Bentonville, AR
National Provider Identifier
1588979843
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0407033 Issued in AR
Legal business name
NORTHWEST COUNSELING, INC.
Practice address
2705 SE G St Ste 9
Bentonville, AR 72712-3742
Phone
(479) 855-5704
Fax
(479) 268-4170
NPI assigned
Aug 11, 2010
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mr. William Oldham, LPCNPI 1932393139
Title
Ceo
Phone
(479) 855-5704

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0407033 AR Primary
Professional Counselor 101YP2500X A0807035 AR
Clinical Social Worker 1041C0700X 2292-C AR

Addresses

Primary practice location

2705 SE G St Ste 9
Bentonville, AR 72712-3742

Mailing address

2705 SE G St Ste 9
Bentonville, AR 72712-3740
Phone (479) 855-5704

National Provider Directory

National Provider Directory
Tax ID family
Northwest Arkansas Counseling Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2705 SE G St
Ste 9
Bentonville, AR 72712
Phone (479) 855-5704

701 N Walton Blvd
#6
Bentonville, AR 72712
Phone (479) 855-5704

Practitioners & affiliated clinicians

Practitioners 12

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": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1588979843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 SE G ST STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-855-5704",
            "fax_number": "479-876-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 SE G ST STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123742",
            "telephone_number": "479-855-5704",
            "fax_number": "479-268-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-855-5704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0407033",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A0807035",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2292-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.