Active NPI
Jason Robert Cates, LCSW
- Mental Health Counselor
- Fayetteville, AR
National Provider Identifier
1942920947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8066-C
- Practice address
- 1111 E Zion Rd
Fayetteville, AR 72703-5013 - Phone
- (479) 530-2545
- NPI assigned
- Aug 30, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8066-C | AR | Primary |
Addresses
Primary practice location
1111 E Zion Rd
Fayetteville, AR 72703-5013
Mailing address
1111 E Zion Rd
Fayetteville, AR 72703-5013
Phone (479) 530-2545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Southern California Keck School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Carlton St
Springdale, AR 72762-5105
Phone (479) 255-5414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwa Christian Counseling Group, Inc. Dba Brookway Counseling | Current | Accepting new patients | |
| Housley & Reaves, PLLC | Past | Accepting new patients |
Locations
801 Carlton St
Springdale, AR 72762
Phone (479) 255-5414
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Springdale, AR
- NPI 1881197697
-
- Counselor
- Bentonville, AR
- NPI 1750899365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1942920947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E ZION RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035013",
"telephone_number": "479-530-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E ZION RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035013",
"telephone_number": "479-530-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATES",
"first_name": "JASON",
"middle_name": "ROBERT",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "8066-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.