Organization Active NPI

Mytherapy Counseling & Life Coaching Services PLLC

  • Community/Behavioral Health Agency
  • Mountain Home, AR
National Provider Identifier
1699548131
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MYTHERAPY COUNSELING & LIFE COACHING SERVICES PLLC
Practice address
701 South St Ste 100
Mountain Home, AR 72653-4452
Phone
(501) 402-0123
Fax
(833) 996-3534
NPI assigned
Nov 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Jaclyn Marie Billins, LCSWNPI 1568594869
Title
Owner
Phone
(501) 402-0123

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

701 South St Ste 100
Mountain Home, AR 72653-4452

Mailing address

1201 Military Rd Ste 2 #238
Benton, AR 72015
Phone (501) 402-0123

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.

NPI Registry JSON

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1699548131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MILITARY RD STE 2 #238",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72015",
            "telephone_number": "501-402-0123",
            "fax_number": "833-996-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SOUTH ST STE 100",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534452",
            "telephone_number": "501-402-0123",
            "fax_number": "833-996-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYTHERAPY COUNSELING & LIFE COACHING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "BILLINS",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-402-0123",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.