Organization Active NPI

Kelly Webb Counseling &. Consulting

  • Professional Counselor
  • Van Buren, AR
National Provider Identifier
1821721036
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KELLY WEBB COUNSELING &. CONSULTING
Practice address
1500 Main St
Van Buren, AR 72956-4731
Phone
(479) 922-5144
Fax
(479) 922-5142
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Kelly Webb, LPCNPI 1477883619
Title
Licensed Professional Counselor
Phone
(479) 806-7286

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1500 Main St
Van Buren, AR 72956-4731

Mailing address

PO Box 180372
Fort Smith, AR 72918-0372
Phone (479) 806-7286

Other practice location 1

2109 Loretta Parker Ln Lot 5
Barling, AR 72923-2092
Phone (479) 806-7286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240305004044 AR Part B Supplier - Clinic/Group Practice 9739524323 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

6234 Massard Rd
Ste 103
Fort Smith, AR 72916
Phone (479) 222-8689

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": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1821721036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180372",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729180372",
            "telephone_number": "479-806-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MAIN ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564731",
            "telephone_number": "479-922-5144",
            "fax_number": "479-922-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Loretta Parker Ln Lot 5",
            "address_purpose": "LOCATION",
            "city": "Barling",
            "state": "AR",
            "postal_code": "729232092",
            "country_code": "US",
            "telephone_number": "479-806-7286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLY WEBB COUNSELING &. CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "479-806-7286",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.