Individual provider Active NPI

Temple Denise Carson, MS, LAC, LAMFT, RPT

  • Professional Counselor
  • Rogers, AR
National Provider Identifier
1659605269
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A0907075 Issued in AR
Practice address
318 W Poplar St
Rogers, AR 72756-4559
Phone
(479) 986-8655
Fax
(479) 633-9398
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A0907075 AR Primary

Addresses

Primary practice location

318 W Poplar St
Rogers, AR 72756-4559

Mailing address

318 W Poplar St
Rogers, AR 72756-4559
Phone (479) 986-8655

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A0907075ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Roots, Inc. Professional 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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1659605269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564559",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564559",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "TEMPLE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MS, LAC, LAMFT, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A0907075",
            "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 Jan 21, 2011; 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.