Back to Basics Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BACK TO BASICS COUNSELING SERVICES

Practice address

4943 Old Greenwood Rd
Suite 2
Fort Smith, AR 72903

Phone

(479) 719-7051

Fax

(478) 242-2653

NPI assigned

Mar 26, 2012

Last updated

Apr 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ila Maureen Debose, LCSWNPI 1740477322

Title

Owner

Phone

(479) 719-7051

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ila Maureen Debose, LCSW

  • Clinical Social Worker
  • Fort Smith, AR
  • NPI 1740477322
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1780950683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 FREE FERRY RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-719-7051",
            "fax_number": "479-242-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 OLD GREENWOOD RD",
            "address_2": "SUITE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-719-7051",
            "fax_number": "478-242-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "DEBOSE",
        "authorized_official_first_name": "ILA",
        "authorized_official_middle_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-719-7051",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "2158-C",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesly Ayala, RBT
• Kiranpreet Babbar
• Erin Babitzke
• Farin Alaei Bacani, DO
• Ethan Parker Bachman, MS OTR/L
• Back to Health Clinic
• Back to Health Medical Clinic
• Marsha Dianne Baer, MS, LPC
• Rubina Naheed Baig, MD
• Bailey Anesthesia LLC

• Community/Behavioral Health Agency in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.