William D Oldham, LPC, MDIV

Primary specialty

SpecialistTaxonomy code 174400000X

License

P0407033 Issued in AR

Practice address

701 N Walton Blvd Ste 6
Bentonville, AR 72712-4548

Phone

(479) 855-5704

Fax

(479) 268-4170

NPI assigned

Aug 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northwest Counseling, Inc.

  • Professional Counselor
  • Bentonville, AR
  • NPI 1588979843
  NPD (past) Authorized official

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1932393139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 SE G ST STE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123742",
            "telephone_number": "479-855-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WALTON BLVD STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124548",
            "telephone_number": "479-855-5704",
            "fax_number": "479-268-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "credential": "LPC, MDIV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "P0407033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5X971",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Obhg Arkansas West PA
• Sharon A Odom, LCSW
• Veronica L Odum, MHPP
• Lynn Odya
• Luke Oldham, DC
• Whitney Lee Oliver, PA-C
• Erica M Olson, LPC
• Optimal Pain and Wellness
• Julia J Ortiz
• Katrina Brooke Ortiz, MS,CCC-SLP

• Specialist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.