Organization Active NPI

Humphreys Counseling

  • Counselor
  • Bentonville, AR
National Provider Identifier
1730626664
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
P1607093 Issued in AR
Legal business name
HUMPHREYS COUNSELING
Practice address
108 E Central Ave Ste 210
Bentonville, AR 72712-5396
Phone
(479) 595-9920
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Mr. James Brandon Humphreys, L.P.C.NPI 1184921603
Title
Owner
Phone
(479) 595-9920

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X P1607093 AR Primary

Addresses

Primary practice location

108 E Central Ave Ste 210
Bentonville, AR 72712-5396

Mailing address

4371 W Castlebury LN
Fayetteville, AR 72704-6607
Phone (479) 595-9920

National Provider Directory

National Provider Directory

Locations

108 E Central Ave
Ste 210
Bentonville, AR 72712
Phone (479) 595-9920

19 E Mountain St
Ste 32
Fayetteville, AR 72701

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": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1730626664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 W CASTLEBURY LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046607",
            "telephone_number": "479-595-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E CENTRAL AVE STE 210",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125396",
            "telephone_number": "479-595-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREYS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-595-9920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AR",
            "license": "P1607093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.