Organization Active NPI

Sisu Therapy & Consulting Services, PLLC

  • Clinical Social Worker
  • Hot Springs, AR
National Provider Identifier
1689193997
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2569-C Issued in AR
Legal business name
SISU THERAPY & CONSULTING SERVICES, PLLC
Practice address
1401 Malvern Ave Ste 140
Hot Springs, AR 71901-6378
Phone
(501) 538-4665
NPI assigned
Sep 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Ms. Kathryn Paige Jaggers, LCSW
Title
Owner/Therapist
Phone
(501) 538-4665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2569-C AR Primary

Addresses

Primary practice location

1401 Malvern Ave Ste 140
Hot Springs, AR 71901-6378

Mailing address

1401 Malvern Ave Ste 140
Hot Springs, AR 71901-6378
Phone (501) 538-4665

Other names 1

  • Kathryn Paige Jaggers, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Malvern Ave
Ste 140
Hot Springs National Park, AR 71901
Phone (501) 359-3930

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1689193997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MALVERN AVE STE 140",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016378",
            "telephone_number": "501-538-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MALVERN AVE STE 140",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016378",
            "telephone_number": "501-538-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU THERAPY & CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "JAGGERS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "501-538-4665",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2569-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathryn Paige Jaggers, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2019; 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.