Organization Active NPI

Elemental Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bentonville, AR
National Provider Identifier
1689116048
Registry record updated Nov 16, 2016
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
ELEMENTAL COUNSELING
Practice address
1002 SE C St
Bentonville, AR 72712-6327
Phone
(479) 925-4444
Fax
(479) 544-9393
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Kharma Parker, LPC, LAMFTNPI 1750790259
Title
Owner
Phone
(479) 925-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1002 SE C St
Bentonville, AR 72712-6327

Mailing address

1002 SE C St
Bentonville, AR 72712-6327
Phone (479) 925-4444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1689116048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SE C ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126327",
            "telephone_number": "479-925-4444",
            "fax_number": "479-544-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SE C ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126327",
            "telephone_number": "479-925-4444",
            "fax_number": "479-544-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KHARMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-925-4444",
        "authorized_official_credential": "LPC, LAMFT"
    },
    "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 Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.