Individual provider Active NPI

Adrian Leigh Varnadore, LAC

  • Mental Health Counselor
  • Fayetteville, AR
National Provider Identifier
1912664228
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2109025 Issued in AR
Practice address
34 W Colt Square Dr Ste 3
Fayetteville, AR 72703-2888
Phone
(479) 535-0333
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2109025 AR Primary

Addresses

Primary practice location

34 W Colt Square Dr Ste 3
Fayetteville, AR 72703-2888

Mailing address

1301 N Prairie Dunes TRL Apt 205
Fayetteville, AR 72704-6440
Phone (870) 718-5663

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hushmail

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

LicenseStateTypeSpecialty
A2109025ARMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1912664228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N PRAIRIE DUNES TRL APT 205",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046440",
            "telephone_number": "870-718-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W COLT SQUARE DR STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032888",
            "telephone_number": "479-535-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNADORE",
        "first_name": "ADRIAN",
        "middle_name": "LEIGH",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2109025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hushmail",
            "affiliation": "N",
            "address_1": "34 W Colt Square Dr Ste 3",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727032888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.