William David Eidt, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P0609052 Issued in AR

Practice address

555 Falls Blvd N
Wynne, AR 72396-2611

Phone

(870) 318-0565

NPI assigned

Oct 16, 2006

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: williameidt@tdh.allscriptsdirect.net

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

• Crossroads Counseling Care Inc

  • Mental Health Counselor
  • Wynne, AR
  • NPI 1629673991
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1831279942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962611",
            "telephone_number": "870-318-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962611",
            "telephone_number": "870-318-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDT",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0609052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Duncan, APRN
• Hannah Eans
• Cynthia R Easley, SPEECH PATHOLOGIST
• Anna Lilly Eaton
• Broderick Eaton, DO
• Lisa Ellis, PTA
• Kristina R Eppes, RPH
• Evergreene Properties of North Carolina, LLC (Crestpark Inn of Wynne)
• Lisa G Fancher, PD
• Taylor Brianne Fitts, PTA

• Mental Health Counselor in Wynne, AR
• Providers in Wynne, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.