Individual provider Active NPI

Victor Werner, LPC

  • Mental Health Counselor
  • Maumelle, AR
National Provider Identifier
1730201799
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P9509027 Issued in AR
Practice address
7 Leisurewood LN
Maumelle, AR 72113-6208
Phone
(501) 372-4242
Fax
(501) 372-6565
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P9509027 AR Primary

Addresses

Primary practice location

7 Leisurewood LN
Maumelle, AR 72113-6208

Mailing address

7 Leisurewood LN
Maumelle, AR 72113-6208
Phone (501) 372-4242

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
P9509027ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency,Inc. CurrentSince Mar 14, 2018 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Locations

628 W Broadway St
Ste 300
North Little Rock, AR 72114
Phone (501) 372-4242

Interoperability endpoints

  • Direct secure messaging: victorwerner@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730201799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LEISUREWOOD LN",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136208",
            "telephone_number": "501-372-4242",
            "fax_number": "501-372-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LEISUREWOOD LN",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136208",
            "telephone_number": "501-372-4242",
            "fax_number": "501-372-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "VICTOR",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P9509027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.