Individual provider Active NPI

Stephen Philip Powers

  • Mental Health Counselor
  • Harrison, AR
National Provider Identifier
1871167627
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1911169 Issued in AR
Practice address
702 N Main St Ste F
Harrison, AR 72601-2920
Phone
(870) 340-2636
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1911169 AR Primary

Addresses

Primary practice location

702 N Main St Ste F
Harrison, AR 72601-2920

Mailing address

303 Saint Andrews Dr
Harrison, AR 72601-9530
Phone (870) 577-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1911169ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chenal Family Therapy, PLC Mental Health CurrentSince Aug 27, 2023 Accepting new patients

Locations

702 N Main St
Ste F
Harrison, AR 72601
Phone (870) 204-6980

10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1871167627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SAINT ANDREWS DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726019530",
            "telephone_number": "870-577-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N MAIN ST STE F",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012920",
            "telephone_number": "870-340-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "STEPHEN",
        "middle_name": "PHILIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1911169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.