NPIMap

Organization Active NPI

Nwa Christian Counseling Group, Inc. Dba Brookway Counseling

  • Clinical Social Worker
  • Springdale, AR
National Provider Identifier
1881197697
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1258-C Issued in AR
Legal business name
NWA CHRISTIAN COUNSELING GROUP, INC. DBA BROOKWAY COUNSELING
Practice address
801 Carlton St
Springdale, AR 72762-5105
Phone
(479) 255-5414
Fax
(855) 277-8988
NPI assigned
Mar 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Andrea Neuls
Title
Am
Phone
(518) 571-0867

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1258-C AR Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1258-C AR

Addresses

Primary practice location

801 Carlton St
Springdale, AR 72762-5105

Mailing address

801 Carlton St
Springdale, AR 72762-5105
Phone (479) 466-3783

Other names 1

  • Brookway Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180628000834 AR Part B Supplier - Clinic/Group Practice 8325394604 Receives reassigned benefits from 9 practitioners
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory

Locations

1709 Johnson Rd
Springdale, AR 72762
Phone (479) 466-3783

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1881197697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CARLTON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625105",
            "telephone_number": "479-466-3783",
            "fax_number": "855-277-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CARLTON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625105",
            "telephone_number": "479-255-5414",
            "fax_number": "855-277-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA CHRISTIAN COUNSELING GROUP, INC. DBA BROOKWAY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-18",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "NEULS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "AM",
        "authorized_official_telephone_number": "518-571-0867"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1258-C",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "1258-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookway Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.