Active NPI
Peggy Ryals, LAC
- Mental Health Counselor
- Greenwood, AR
National Provider Identifier
1750665709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A1404068
- Practice address
- 1200 W Center St
Greenwood, AR 72936-3716 - Phone
- (479) 452-5040
- Fax
- (479) 452-5047
- NPI assigned
- Oct 7, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1404068 | AR | Primary |
Addresses
Primary practice location
1200 W Center St
Greenwood, AR 72936-3716
Mailing address
PO Box 23070
Barling, AR 72923-0070
Phone (479) 452-5040
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 |
|---|---|---|---|
| A1404068 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1750665709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23070",
"city": "BARLING",
"state": "AR",
"postal_code": "729230070",
"telephone_number": "479-452-5040",
"fax_number": "479-452-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W CENTER ST",
"city": "GREENWOOD",
"state": "AR",
"postal_code": "729363716",
"telephone_number": "479-452-5040",
"fax_number": "479-452-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYALS",
"first_name": "PEGGY",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-07",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1404068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.