Active NPI
Elizabeth Jordan Vice, LPC
- Mental Health Counselor
- Hot Springs, AR
National Provider Identifier
1699000612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P1803028
- Practice address
- 1820 Central Ave Ste Bandc
Hot Springs, AR 71901 - Phone
- (501) 623-6000
- Fax
- (501) 623-6004
- NPI assigned
- Oct 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P1803028 | AR | Primary |
Addresses
Primary practice location
1820 Central Ave Ste Bandc
Hot Springs, AR 71901
Mailing address
1820 Central Ave Ste Bandc
Hot Springs, AR 71901-6847
Phone (501) 623-6000
Other practice location 1
125 Wellness Way
Hot Springs, AR 71913
Phone (501) 624-7111
Other practice location 2
125 Wellness Way
Hot Springs, AR 71913
Phone (501) 624-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171908795 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1803028 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1699000612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 CENTRAL AVE STE BANDC",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719016847",
"telephone_number": "501-623-6000",
"fax_number": "501-623-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 CENTRAL AVE STE BANDC",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71901",
"telephone_number": "501-623-6000",
"fax_number": "501-623-6004"
}
],
"practiceLocations": [
{
"address_1": "125 Wellness Way",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "AR",
"postal_code": "71913",
"country_code": "US",
"telephone_number": "501-624-7111",
"fax_number": "501-620-5109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Wellness Way",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "AR",
"postal_code": "71913",
"country_code": "US",
"telephone_number": "501-624-7111",
"fax_number": "501-620-5109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VICE",
"first_name": "ELIZABETH",
"middle_name": "JORDAN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1803028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171908795",
"state": "AR"
}
],
"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 Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.