Jennifer Niles

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1106033 Issued in AR

Practice address

1601 S Rainbow Rd
Rogers, AR 72758-8821

Phone

(479) 254-1144

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1881074755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY ST",
            "address_2": "B",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613130",
            "telephone_number": "479-409-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S RAINBOW RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588821",
            "telephone_number": "479-254-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1106033",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "M1106001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Nichols, DO
• Chantal Nicolas, NP
• Nicole M. Scally MD PA
• Mary Nicosia, LAC
• Erika Leticia Nielsen, LPC, LMFT
• Lee Ann Nimmo, LPC
• Lindsay Elizabeth Nordmeyer, PA-C
• Michael C. Noren, D.C.
• Keely Renee Norman, PT, DPT, MTC
• Wesley Edward Northey IV, PT, DPT

• Professional Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.