Organization Active NPI

DB PLLC

  • Mental Health Counselor
  • Fort Smith, AR
National Provider Identifier
1710756127
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DB PLLC
Practice address
3017 S 70TH St Ste G
Fort Smith, AR 72903-5000
Phone
(479) 210-2146
Fax
(479) 222-6895
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
David Lynn Bourne, LPCNPI 1669702643
Title
Owner
Phone
(479) 561-0108

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3017 S 70TH St Ste G
Fort Smith, AR 72903-5000

Mailing address

3308 S 54TH St
Fort Smith, AR 72903-4617
Phone (479) 561-0108

National Provider Directory

National Provider Directory

Locations

3017 S 70th St
Ste G
Fort Smith, AR 72903
Phone (479) 210-2146

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1710756127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 S 54TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034617",
            "telephone_number": "479-561-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 S 70TH ST STE G",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035000",
            "telephone_number": "479-210-2146",
            "fax_number": "479-222-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-561-0108",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.