Individual provider Active NPI

Bill J Carpenter Sr., LMFT, LPC

  • Mental Health Counselor
  • North Little Rock, AR
National Provider Identifier
1831609262
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1804055 Issued in AR
Practice address
4700 W Commercial Dr Ste B3
North Little Rock, AR 72116
Phone
(501) 920-6096
Fax
(844) 732-5392
NPI assigned
Oct 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X M1804009 AR
Mental Health Counselor 101YM0800X P1804055 AR Primary

Addresses

Primary practice location

4700 W Commercial Dr Ste B3
North Little Rock, AR 72116

Mailing address

4700 W Commercial Dr Ste B3
North Little Rock, AR 72116-8073
Phone (501) 920-6096

Other identifiers 2

IdentifierTypeStateIssuer
M1804009OtherARLICENSED MARRIAGE AND FAMILY THERAPIST
P1804055OtherARLICENSED PROFESSIONAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M1804009ARMDMental Health Counselor
P1804055ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Carpenter'S Hope Counseling Center, PLLC Mental Health Current Accepting new patients

Locations

4700 W Commercial Dr
Ste B3
North Little Rock, AR 72116
Phone (501) 557-3888

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1831609262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W COMMERCIAL DR STE B3",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168073",
            "telephone_number": "501-920-6096",
            "fax_number": "844-732-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W COMMERCIAL DR STE B3",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-920-6096",
            "fax_number": "844-732-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "BILL",
        "middle_name": "J",
        "name_suffix": "Sr.",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "M1804009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1804055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "M1804009",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "P1804055",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.