Individual provider Active NPI

Crystal Susan Rofkahr, PH.D.

  • Counseling Psychologist
  • Fayetteville, AR
National Provider Identifier
1740634435
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
16-08P Issued in AR
Practice address
26 E Meadow St Ste 3
Fayetteville, AR 72701
Phone
(479) 435-6259
Fax
(479) 435-6276
NPI assigned
Apr 19, 2016
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 16-08P AR Primary

Addresses

Primary practice location

26 E Meadow St Ste 3
Fayetteville, AR 72701

Mailing address

PO Box 64
Fayetteville, AR 72702-0064
Phone (479) 435-6259

Other practice location 1

215 N East Ave Ste 102
Fayetteville, AR 72701-5296
Phone (479) 301-5290

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
16-08PARMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Day by Day: a Center for Health and Healing Current Accepting new patients
Wild Fig, LLC PastSince Dec 15, 2024 Accepting new patients

Locations

215 N East Ave
Ste 102
Fayetteville, AR 72701
Phone (479) 301-5290

215 N College Ave
Fayetteville, AR 72701
Phone (479) 301-5290

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1740634435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727020064",
            "telephone_number": "479-435-6259",
            "fax_number": "479-435-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MEADOW ST STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-435-6259",
            "fax_number": "479-435-6276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 N East Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727015296",
            "country_code": "US",
            "telephone_number": "479-301-5290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROFKAHR",
        "first_name": "CRYSTAL",
        "middle_name": "SUSAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AR",
            "license": "16-08P",
            "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 Aug 21, 2018; 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.