Organization Active NPI

Kristy Dawson Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain Home, AR
National Provider Identifier
1750149316
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KRISTY DAWSON COUNSELING SERVICES
Practice address
1209 Commerce Dr # 5
Mountain Home, AR 72653-2601
Phone
(870) 656-0455
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Kristy Ann Dawson, LPCNPI 1972929511
Title
President
Phone
(870) 656-0455

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1209 Commerce Dr # 5
Mountain Home, AR 72653-2601

Mailing address

PO Box 1567
Mountain Home, AR 72654-1567
Phone (870) 656-0455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241030001515 AR Part B Supplier - Clinic/Group Practice 2163966722 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain Home, AR

National Provider Directory

National Provider Directory

Locations

1209 Commerce Dr
Rm 5
Mountain Home, AR 72653
Phone (870) 656-0455

1209 Commerce Dr
#5
Mountain Home, AR 72653
Phone (870) 656-0455

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": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1750149316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726541567",
            "telephone_number": "870-656-0455",
            "fax_number": "870-492-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 COMMERCE DR # 5",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532601",
            "telephone_number": "870-656-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY DAWSON COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-656-0455",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.