Fair Way Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2016-057 Issued in AR

Legal business name

FAIR WAY COUNSELING, PLLC

Practice address

518 S East St
Benton, AR 72015-4318

Phone

(501) 438-0807

Fax

(866) 545-5491

NPI assigned

Apr 29, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Woodworth, LPC, CRCNPI 1336259316

Title

Ceo

Phone

(800) 709-0309

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Katherine G. Woodworth, LPC, CRC, DCC,CCPD-D

  • Professional Counselor
  • Benton, AR
  • NPI 1336259316
  Medicare reassignment NPD Authorized official
• Shefa Rahman, M.D.

  • Psychiatry Physician
  • Fayetteville, AR
  • NPI 1124461942
  Medicare reassignment NPD

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1982139770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 S EAST ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154318",
            "telephone_number": "501-438-0807",
            "fax_number": "866-545-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S EAST ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154318",
            "telephone_number": "501-438-0807",
            "fax_number": "866-545-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR WAY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-29",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-709-0309",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "2016-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124461942",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336259316",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Lane Evans, MS, SLP
• Michael Ewald, CMP
• Exceptional Physical Therapy, PLLC
• Experience Counseling Clinic, Inc.
• Ez Transport LLC
• Faithful Home Care, LLC
• Corey Falcone, CMP
• John P Farley, RECOVERY ASSISTANT
• Elizabeth Sara Farmer, LCSW
• Sara Feingold, LPC

• Community/Behavioral Health Agency in Benton, AR
• Providers in Benton, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.