Organization Active NPI

Abound Psychological Services PLLC

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1790174019
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
05-06EI Issued in AR
Legal business name
ABOUND PSYCHOLOGICAL SERVICES PLLC
Practice address
16623 Cantrell Rd
Suite 1B
Little Rock, AR 72223-4247
Phone
(501) 868-4900
Fax
(501) 868-4901
NPI assigned
Jan 12, 2015
Last updated
Jan 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Angela Etchison, M.S., LPE-INPI 1801048939
Title
Owner
Phone
(501) 868-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 05-06EI AR Primary

Addresses

Primary practice location

16623 Cantrell Rd
Suite 1B
Little Rock, AR 72223-4247

Mailing address

16623 Cantrell Rd
Suite 1B
Little Rock, AR 72223-4247
Phone (501) 868-4900

National Provider Directory

National Provider Directory

Locations

16623 Cantrell Rd
Ste 1B
Little Rock, AR 72223
Phone (501) 673-3166

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1790174019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16623 CANTRELL RD",
            "address_2": "SUITE 1B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234247",
            "telephone_number": "501-868-4900",
            "fax_number": "501-868-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16623 CANTRELL RD",
            "address_2": "SUITE 1B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234247",
            "telephone_number": "501-868-4900",
            "fax_number": "501-868-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUND PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "ETCHISON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-868-4900",
        "authorized_official_credential": "M.S., LPE-I"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "05-06EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.