Organization Active NPI

Garland County Grief Counseling

  • Clinical Social Worker
  • Hot Springs, AR
National Provider Identifier
1669197133
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GARLAND COUNTY GRIEF COUNSELING
Practice address
320 Ouachita Ave Ste 202
Hot Springs, AR 71901-5165
Phone
(865) 242-0009
NPI assigned
Oct 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Victoria Ann Porter, LCSWNPI 1467861385
Title
Owner/Therapist
Phone
(865) 242-0009

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

320 Ouachita Ave Ste 202
Hot Springs, AR 71901-5165

Mailing address

161 Fox Chase Cir
Hot Springs, AR 71913-9812
Phone (865) 242-0009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221012000126 AR Part B Supplier - Clinic/Group Practice 4183090418 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

320 Ouachita Ave
Ste 202
Hot Springs, AR 71901
Phone (865) 242-0009

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": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1669197133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FOX CHASE CIR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719139812",
            "telephone_number": "865-242-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OUACHITA AVE STE 202",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719015165",
            "telephone_number": "865-242-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND COUNTY GRIEF COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "865-242-0009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.