Individual provider Active NPI

Aislinn Victoria Sherrill

  • Behavior Technician
  • Rogers, AR
National Provider Identifier
1639690282
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3400 N Woods LN
Rogers, AR 72756-6712
Phone
(479) 636-3190
Fax
(479) 636-4587
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Technician 106S00000X AR Primary

Addresses

Primary practice location

3400 N Woods LN
Rogers, AR 72756-6712

Mailing address

3400 N Woods LN
Rogers, AR 72756-6712
Phone (479) 636-3190

Other practice location 1

1200 W Walnut St Ste 1400
Rogers, AR 72756-3598
Phone (479) 725-6000

Other practice location 2

4171 N Crossover Rd
Fayetteville, AR 72703-4591
Phone (479) 443-6496

Other practice location 3

4171 N Crossover Rd
Fayetteville, AR 72703-4591
Phone (479) 443-6496

Other practice location 4

2003 SE Walton Blvd
Bentonville, AR 72712-3725
Phone (479) 750-2020

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Guidance Center, Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1639690282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 N WOODS LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566712",
            "telephone_number": "479-636-3190",
            "fax_number": "479-636-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N WOODS LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566712",
            "telephone_number": "479-636-3190",
            "fax_number": "479-636-4587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Walnut St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727563598",
            "country_code": "US",
            "telephone_number": "479-725-6000",
            "fax_number": "479-750-4843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4171 N Crossover Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034591",
            "country_code": "US",
            "telephone_number": "479-443-6496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4171 N Crossover Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034591",
            "country_code": "US",
            "telephone_number": "479-443-6496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 SE Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727123725",
            "country_code": "US",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERRILL",
        "first_name": "AISLINN",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.