Active NPI
Dianne Lee Conroy, LPC
- Professional Counselor
- Bentonville, AR
National Provider Identifier
1750518833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1901014
- Practice address
- 2003 SE Walton Blvd
Bentonville, AR 72712-3725 - Phone
- (479) 725-6000
- Fax
- (479) 750-4843
- NPI assigned
- Jun 16, 2009
- Last updated
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1901014 | AR | Primary |
Addresses
Primary practice location
2003 SE Walton Blvd
Bentonville, AR 72712-3725
Mailing address
7321 Angel Fire Dr
Plano, TX 75025-2620
Phone (214) 725-1958
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
| License | State | Type | Specialty |
|---|---|---|---|
| P1901014 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1750518833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7321 ANGEL FIRE DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750252620",
"telephone_number": "214-725-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 SE WALTON BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123725",
"telephone_number": "479-725-6000",
"fax_number": "479-750-4843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "DIANNE",
"middle_name": "LEE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1901014",
"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 Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.