Active NPI
Teri Lynn Honeysuckle, MS, LAC
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1750998803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A2009124
- Practice address
- 230 W Center St
Fayetteville, AR 72701-5934 - Phone
- (479) 208-6493
- NPI assigned
- Sep 23, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A2009124 | AR | Primary |
Addresses
Primary practice location
230 W Center St
Fayetteville, AR 72701-5934
Mailing address
230 W Center St
Fayetteville, AR 72701-5934
Phone (479) 208-6493
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2009124 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1750998803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W CENTER ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015934",
"telephone_number": "479-208-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W CENTER ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015934",
"telephone_number": "479-208-6493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONEYSUCKLE",
"first_name": "TERI",
"middle_name": "LYNN",
"credential": "MS, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "A2009124",
"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 Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.