Organization Active NPI

The Daring Space - a Private Therapy Practice

Doing business as The Daring Space

  • Professional Counselor
  • Wynne, AR
National Provider Identifier
1629654025
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE DARING SPACE - A PRIVATE THERAPY PRACTICE
Doing business as
The Daring Space
Practice address
203 Merriman Ave E
Wynne, AR 72396-2943
Phone
(870) 375-2042
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Helen Jennings-Hood, LPCNPI 1235625617
Title
Owner/Therapist
Phone
(870) 375-2042

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

203 Merriman Ave E
Wynne, AR 72396-2943

Mailing address

15 Shannon Dr
Wynne, AR 72396-2536
Phone (870) 253-1570

Other names 1

  • The Daring Space Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR Direct

National Provider Directory

National Provider Directory

Locations

203 Merriman Ave E
Wynne, AR 72396
Phone (870) 375-2042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1629654025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SHANNON DR",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962536",
            "telephone_number": "870-253-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MERRIMAN AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962943",
            "telephone_number": "870-375-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DARING SPACE - A PRIVATE THERAPY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "JENNINGS-HOOD",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "870-375-2042",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Simple Practice Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "EHR Platform",
            "address_1": "15 Shannon Dr",
            "city": "Wynne",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723962536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Daring Space",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Daring Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.