Nwa Second Stage Transition

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NWA SECOND STAGE TRANSITION

Practice address

608 S Hico St
Siloam Springs, AR 72761-3740

Phone

(479) 549-3737

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Cecelia Dorko, MASTER DEGREE

Title

Executive Director

Phone

(479) 547-3737

Specialties & licenses 3

Addresses

Other names 1

• NWA Second Stage Transition Former legal business name

Locations

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1679241939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S HICO ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613740",
            "telephone_number": "479-549-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S HICO ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613740",
            "telephone_number": "479-549-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA SECOND STAGE TRANSITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "DORKO",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-547-3737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTER DEGREE"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NWA Second Stage Transition",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NWA Second Stage Transition",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.