Individual provider Active NPI

Priscilla Anne Mondt, PH.D., LPC

  • Professional Counselor
  • Rogers, AR
National Provider Identifier
1811599368
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2001008 Issued in AR
Practice address
3901 W Financial Pkwy Ste 101
Rogers, AR 72758-1471
Phone
(479) 986-8655
Fax
(479) 633-9398
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2001008 AR Primary

Addresses

Primary practice location

3901 W Financial Pkwy Ste 101
Rogers, AR 72758-1471

Mailing address

PO Box 255
Greenland, AR 72737-0255
Phone (910) 587-6053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209001870 AR Practitioner - Mental Health Counselor 1355784059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural State Counseling CentersGroup PAC ID 3779936497, 2 clinicians

Practice addresses (Care Compare)

210 E Locust St
Rogers, AR 72756-3834
Phone (479) 360-9080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Natural State Counseling Centers CurrentSince Jan 1, 2024 Accepting new patients

Locations

210 E Locust St
Rogers, AR 72756
Phone (479) 360-9080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1811599368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255",
            "city": "GREENLAND",
            "state": "AR",
            "postal_code": "727370255",
            "telephone_number": "910-587-6053",
            "fax_number": "479-633-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W FINANCIAL PKWY STE 101",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581471",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDT",
        "first_name": "PRISCILLA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2001008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.