Organization Active NPI

Wendell E. Smith Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
National Provider Identifier
1770152043
Registry record updated Oct 1, 2021
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
WENDELL E. SMITH COUNSELING, INC.
Practice address
1809 Executive SQ
Jonesboro, AR 72401-6086
Phone
(870) 926-7356
NPI assigned
Jun 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Mr. Wendell Edward Smith, LPC-SNPI 1215104740
Title
Therapist
Phone
(870) 926-7356

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

1809 Executive SQ
Jonesboro, AR 72401-6086

Mailing address

422 W Highland Dr
Jonesboro, AR 72401-5816
Phone (870) 926-7356

Other identifiers 1

IdentifierTypeStateIssuer
1215104740MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wescounseling@yahoo.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1809 Executive Sq
Jonesboro, AR 72401
Phone (501) 273-4044

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": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1770152043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W HIGHLAND DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015816",
            "telephone_number": "870-926-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 EXECUTIVE SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016086",
            "telephone_number": "870-926-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDELL E. SMITH COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "870-926-7356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215104740",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wescounseling@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1809 Executive Sq",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724016086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.