Active NPI
Maria Bojanowska
- Professional Counselor
- Bentonville, AR
National Provider Identifier
1902379043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2309008
- Practice address
- 3511 SE J St
Suite 9 - 3
Bentonville, AR 72712-3856 - Phone
- (479) 255-2961
- Fax
- (479) 255-4757
- NPI assigned
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2349 | MS | |
| Professional Counselor | 101YP2500X | P2309008 | AR | Primary |
Addresses
Primary practice location
3511 SE J St
Suite 9 - 3
Bentonville, AR 72712-3856
Mailing address
3511 SE J St
Suite 9 - 3
Bentonville, AR 72712-3856
Phone (479) 255-2961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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 |
|---|---|---|---|
| P2309008 | AR | MD | Professional Counselor |
| 2349 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1902379043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 SE J ST",
"address_2": "SUITE 9 - 3",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123856",
"telephone_number": "479-255-2961",
"fax_number": "479-255-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 SE J ST",
"address_2": "SUITE 9 - 3",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123856",
"telephone_number": "479-255-2961",
"fax_number": "479-255-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOJANOWSKA",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-10",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2349",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2309008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.