Organization Active NPI

Pivot to Peace Counseling, LLC

  • Community/Behavioral Health Agency
  • Fort Smith, AR
National Provider Identifier
1851189922
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PIVOT TO PEACE COUNSELING, LLC
Practice address
4979 Old Greenwood Rd Ste B6
Fort Smith, AR 72903-6906
Phone
(479) 397-7711
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Demetric Undrea Wyatt, LCSW
Title
Owner
Phone
(479) 397-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4979 Old Greenwood Rd Ste B6
Fort Smith, AR 72903-6906

Mailing address

4979 Old Greenwood Rd Ste B6
Fort Smith, AR 72903-6906
Phone (479) 397-7711

National Provider Directory

National Provider Directory

Locations

4979 Old Greenwood Rd
Ste B6
Fort Smith, AR 72903
Phone (479) 397-7711

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1851189922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 OLD GREENWOOD RD STE B6",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036906",
            "telephone_number": "479-397-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 OLD GREENWOOD RD STE B6",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036906",
            "telephone_number": "479-397-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT TO PEACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "DEMETRIC",
        "authorized_official_middle_name": "UNDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-397-7711",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.