NPIMap

Organization Active NPI

Experience Counseling Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hope, AR
National Provider Identifier
1659035616
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EXPERIENCE COUNSELING CLINIC, INC.
Practice address
509 S Main St
Hope, AR 71801-5207
Phone
(870) 474-5001
NPI assigned
Oct 26, 2021
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Monica Brannon, LPCNPI 1497800486
Title
Co-Owner
Phone
(870) 245-7984

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

509 S Main St
Hope, AR 71801-5207

Mailing address

PO Box 932
Hope, AR 71802-0932

Other practice location 1

1209 Ferguson Dr
Benton, AR 72015-3596
Phone (870) 474-5001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230620002320 AR Part B Supplier - Clinic/Group Practice 6204294465 Receives reassigned benefits from 5 practitioners
Practice locations: Hope, AR

National Provider Directory

National Provider Directory
Tax ID family
Experience Counseling Clinic3 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

112 E 12th St
Hope, AR 71801
Phone (870) 474-5001

Practitioners & affiliated clinicians

Practitioners 8

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1659035616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718020932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S MAIN ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718015207",
            "telephone_number": "870-474-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Ferguson Dr",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720153596",
            "country_code": "US",
            "telephone_number": "870-474-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXPERIENCE COUNSELING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BRANNON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "870-245-7984",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.