Active NPI
Dwight Lee Decker, LPC
- Professional Counselor
- Batesville, AR
National Provider Identifier
1932159209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PO510064
- Practice address
- 400 Harrison St
Suite 107
Batesville, AR 72501 - Phone
- (501) 206-8402
- Fax
- (870) 793-6774
- NPI assigned
- May 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PO510064 | AR | Primary |
Addresses
Primary practice location
400 Harrison St
Suite 107
Batesville, AR 72501
Mailing address
164 James PL
Heber Springs, AR 72543-7638
Phone (501) 362-3937
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 |
|---|---|---|---|
| PO510064 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228348800000",
"number": "1932159209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 JAMES PL",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725437638",
"telephone_number": "501-362-3937",
"fax_number": "870-793-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HARRISON ST",
"address_2": "SUITE 107",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "72501",
"telephone_number": "501-206-8402",
"fax_number": "870-793-6774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "DWIGHT",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2008-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "PO510064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batesville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.