Active NPI
Clinical & Community Psychology & Counseling, P.a.
- Psychologist
- Fayetteville, AR
National Provider Identifier
1821157017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8109P
- Legal business name
- CLINICAL & COMMUNITY PSYCHOLOGY & COUNSELING, P.A.
- Practice address
- 301 W Mountain St
Fayetteville, AR 72701-5947 - Phone
- (479) 442-2457
- Fax
- (479) 442-0159
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frances B Woods, PH.D.
- Title
- Owner
- Phone
- (479) 442-2457
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8109P | AR | Primary |
Addresses
Primary practice location
301 W Mountain St
Fayetteville, AR 72701-5947
Mailing address
301 W Mountain St
Fayetteville, AR 72701-5947
Phone (479) 442-2457
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5S426 | Other | AR | BCBS CLARK MILLIGAN |
| 56528 | Other | AR | BCBS FRANCES WOODS |
National Provider Directory
National Provider DirectoryLocations
301 W Mountain St
Fayetteville, AR 72701
Phone (479) 442-2457
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Fayetteville, AR
- NPI 1972569077
-
- Marriage & Family Therapist
- Fayetteville, AR
- NPI 1710943808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821157017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W MOUNTAIN ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015947",
"telephone_number": "479-442-2457",
"fax_number": "479-442-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W MOUNTAIN ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015947",
"telephone_number": "479-442-2457",
"fax_number": "479-442-0159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL & COMMUNITY PSYCHOLOGY & COUNSELING, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "FRANCES",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-442-2457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "AR",
"license": "8109P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CLARK MILLIGAN",
"identifier": "5S426",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FRANCES WOODS",
"identifier": "56528",
"state": "AR"
}
],
"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 Aug 22, 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.