NPIMap

Organization Active NPI

Robyn Nelson Counseling, PLLC

  • Professional Counselor
  • Bentonville, AR
National Provider Identifier
1902306343
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ROBYN NELSON COUNSELING, PLLC
Practice address
1003 SE 14TH St Ste 4
Bentonville, AR 72712-6897
Phone
(479) 319-6579
Fax
(479) 319-6570
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Authorized official

Name
Robyn Lea Nelson, M.S., ED.S.NPI 1164927281
Title
Owner/ Therapists
Phone
(479) 319-6579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X AR Primary

Addresses

Primary practice location

1003 SE 14TH St Ste 4
Bentonville, AR 72712-6897

Mailing address

4072 Caerleon Cir
Bentonville, AR 72712-7651
Phone (479) 903-3500

Other names 1

  • 4 Rivers Counseling, PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260422000203 AR Part B Supplier - Clinic/Group Practice 3274971247 Receives reassigned benefits from 2 practitioners
Practice locations: Bentonville, AR

National Provider Directory

National Provider Directory

Locations

1003 SE 14th St
Ste 4
Bentonville, AR 72712
Phone (479) 319-6579

305 SW 18th St
Ste 7
Bentonville, AR 72712
Phone (479) 319-6579

Practitioners & affiliated clinicians

Practitioners 8

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": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1902306343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 CAERLEON CIR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127651",
            "telephone_number": "479-903-3500",
            "fax_number": "479-319-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SE 14TH ST STE 4",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126897",
            "telephone_number": "479-319-6579",
            "fax_number": "479-319-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN NELSON COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER/ THERAPISTS",
        "authorized_official_telephone_number": "479-319-6579",
        "authorized_official_credential": "M.S., ED.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4 Rivers Counseling, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.