NPIMap

Organization Active NPI

New Creation Professional Counseling & Management Services, Inc.

  • Mental Health Counselor
  • Siloam Springs, AR
National Provider Identifier
1851343867
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P0406024 Issued in AR
Legal business name
NEW CREATION PROFESSIONAL COUNSELING & MANAGEMENT SERVICES, INC.
Practice address
800 S Mount Olive St Ste B
Siloam Springs, AR 72761-4203
Phone
(479) 524-0477
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Debbie J. Harris, L.P.C.
Title
President/Owner
Phone
(479) 524-0477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X P0406024 AR Primary

Addresses

Primary practice location

800 S Mount Olive St Ste B
Siloam Springs, AR 72761-4203

Mailing address

800 S Mount Olive St Ste B
Siloam Springs, AR 72761-4203
Phone (479) 524-0477

Other identifiers 2

IdentifierTypeStateIssuer
159833719MedicaidAR
159867744MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
New Creation Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1851343867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MOUNT OLIVE ST STE B",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614203",
            "telephone_number": "479-524-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MOUNT OLIVE ST STE B",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614203",
            "telephone_number": "479-524-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CREATION PROFESSIONAL COUNSELING & MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "479-524-0477",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0406024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159833719",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159867744",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.