JKL Counseling & Consulting, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JKL COUNSELING & CONSULTING, PLLC

Practice address

2863 N Old Missouri Rd Ste 108D
Fayetteville, AR 72703-3777

Phone

(479) 348-2397

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenni LongNPI 1194167379

Title

Owner/Therapist

Phone

(479) 348-2397

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenni Kay Long, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1194167379
  Medicare reassignment NPD Authorized official
• Alyssa Michelle Flynn, LPC

  • Professional Counselor
  • Fayetteville, AR
  • NPI 1942927355
  NPD

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1952120552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 N OLD MISSOURI RD STE 108D",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033777",
            "telephone_number": "479-348-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 N OLD MISSOURI RD STE 108D",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033777",
            "telephone_number": "479-348-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKL COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "479-348-2397"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Dudley
• Jim Sharp MD
• Berenice Jimenez King, DO
• Lauren Jindracek, PHARMD
• JJ Gliedt PLLC (Nwa Spine and Joint)
• Natalie Renee Jobe, APRN-CNP
• Joe Horton Faimly Eye Care, PA
• Joe Horton Family Eye Care, PA
• Sarah Lewis Johanson, RD
• John L Garlinghouse D.M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.