Active NPI
Kelli Burroughs
- Counselor
- North Little Rock, AR
National Provider Identifier
1912654203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4702 W Commercial Dr Ste B3
North Little Rock, AR 72116-7073 - Phone
- (501) 205-4570
- NPI assigned
- Mar 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4702 W Commercial Dr Ste B3
North Little Rock, AR 72116-7073
Mailing address
4702 W Commercial Dr Ste B3
North Little Rock, AR 72116-7073
Phone (501) 205-4570
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | URL | ||
| Other URL | therapynotes.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Arkansas Group Counseling, PLLC | Current | Accepting new patients |
Locations
4702 W Commercial Dr
Ste B3
North Little Rock, AR 72116
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bentonville, AR
- NPI 1356867303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1912654203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 W COMMERCIAL DR STE B3",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167073",
"telephone_number": "501-205-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4702 W COMMERCIAL DR STE B3",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167073",
"telephone_number": "501-205-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "URL",
"affiliation": "N",
"address_1": "4702 W Commercial Dr Ste B3",
"city": "North Little Rock",
"state": "AR",
"country_code": "US",
"postal_code": "721167073",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "therapynotes.com",
"affiliation": "N",
"address_1": "4702 W Commercial Dr Ste B3",
"city": "North Little Rock",
"state": "AR",
"country_code": "US",
"postal_code": "721167073",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.