Jennifer Dione Koger Hawes, LAC
Individual provider Active NPI Counselor · Searcy, AR
NPI 1962831263 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1962831263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- A1310128 (AR)
- Practice address
- 403 S Poplar St
Suite a
Searcy, AR 72143-6017 - Phone
- (501) 279-9220
- Fax
- (501) 279-9450
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1310128 | AR | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A1310128 | AR | Yes |
Addresses
Primary practice location
403 S Poplar St
Suite a
Searcy, AR 72143-6017
Mailing address
403 S Poplar St
Suite a
Searcy, AR 72143-6017
Phone (501) 279-9220
Other names
- Jennifer Dione Kroger
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.