Individual provider Active NPI

Robin Stuntz-Christian, LAC

  • Mental Health Counselor
  • Cherokee Village, AR
National Provider Identifier
1629255120
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A0603018 Issued in AR
Practice address
#4 Cherokee Village Mall
Cherokee Village, AR 72529
Phone
(870) 847-2210
NPI assigned
Jan 28, 2008
Last updated
Jan 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A0603018 AR Primary

Addresses

Primary practice location

#4 Cherokee Village Mall
Cherokee Village, AR 72529

Mailing address

PO Box 176
Cherokee Village, AR 72525-0176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503000895 AR Practitioner - Mental Health Counselor 1153761432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Bokker Enterprises Inc.Group PAC ID 8628153194, 5 clinicians

Practice addresses (Care Compare)

2012 Hwy 62 412
Highland, AR 72542-9477
Phone (870) 856-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0603018ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bokker Enterprises, Inc. CurrentSince Apr 25, 2024 Accepting new patients
Bokker Enterprises, Inc. CurrentSince Apr 25, 2024 Accepting new patients

Locations

2012 Highway 62 412
Highland, AR 72542
Phone (866) 533-1761

115 Turner Ln
Ste 2
Salem, AR 72576
Phone (870) 384-1744

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1629255120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725250176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#4 CHEROKEE VILLAGE MALL",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "72529",
            "telephone_number": "870-847-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUNTZ-CHRISTIAN",
        "first_name": "ROBIN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A0603018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee Village, AR

Sources for this page

Verify at the official NPI Registry.