Active NPI
Presley Souers, LPC
- Mental Health Counselor
- Rogers, AR
National Provider Identifier
1881335537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P2302002
- Practice address
- 7 Halsted Cir Ste 112
Rogers, AR 72756-3110 - Phone
- (479) 323-1110
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A2009112 | AR | |
| Mental Health Counselor | 101YM0800X | P2302002 | AR | Primary |
Addresses
Primary practice location
7 Halsted Cir Ste 112
Rogers, AR 72756-3110
Mailing address
1020 Monarch Rd
Centerton, AR 72719-3015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2009112 | AR | MD | Mental Health Counselor |
| P2302002 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Fayetteville, AR
- NPI 1417111048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1881335537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 MONARCH RD",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727193015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HALSTED CIR STE 112",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563110",
"telephone_number": "479-323-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUERS",
"first_name": "PRESLEY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2009112",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P2302002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.