Organization Active NPI

Tri Lakes Counseling PLLC

  • Mental Health Counselor
  • Hot Springs, AR
National Provider Identifier
1689457160
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRI LAKES COUNSELING PLLC
Practice address
117 Piper St Ste J
Hot Springs, AR 71901-8263
Phone
(501) 545-6420
Fax
(501) 441-6948
NPI assigned
Aug 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Mr. Thaddeus Elder, LPCNPI 1366685315
Title
Licensed Professional Counselor
Phone
(501) 545-6420

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

117 Piper St Ste J
Hot Springs, AR 71901-8263

Mailing address

117 Piper St Ste J
Hot Springs, AR 71901-8263
Phone (501) 545-6420

National Provider Directory

National Provider Directory

Locations

117 Piper St
Ste J
Hot Springs, AR 71901
Phone (501) 282-9699

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": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1689457160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PIPER ST STE J",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018263",
            "telephone_number": "501-545-6420",
            "fax_number": "501-441-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PIPER ST STE J",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018263",
            "telephone_number": "501-545-6420",
            "fax_number": "501-441-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI LAKES COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "501-545-6420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Aug 17, 2023; 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.