Individual provider Active NPI

Waylon Vande Hoef

  • Professional Counselor
  • Fayetteville, AR
National Provider Identifier
1700421724
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A1809129 Issued in AR
Practice address
1925 N Green Acres Rd
Fayetteville, AR 72703-2617
Phone
(479) 521-1296
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A1809129 AR Primary

Addresses

Primary practice location

1925 N Green Acres Rd
Fayetteville, AR 72703-2617

Mailing address

PO Box 30022
Little Rock, AR 72260-0001
Phone (501) 455-8554

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

LicenseStateTypeSpecialty
A1809129ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Baptist Children's Homes and Family Ministries Professional CurrentSince Nov 17, 2019 Accepting new patients
Arkansas Baptist Children's Homes PastSince Nov 17, 2019 Accepting new patients

Locations

12320 Interstate 30
Little Rock, AR 72210
Phone (501) 410-1567

626 W Olive St
Rogers, AR 72756

1702 W Huntsville Ave
Springdale, AR 72762
Phone (479) 521-1296

1200 Bridges Ave E
Wynne, AR 72396
Phone (870) 336-1300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1700421724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30022",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722600001",
            "telephone_number": "501-455-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N GREEN ACRES RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032617",
            "telephone_number": "479-521-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDE HOEF",
        "first_name": "WAYLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A1809129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.