Organization Active NPI

Tciy Ministries

  • Mental Health Counselor
  • Bentonville, AR
National Provider Identifier
1982175394
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TCIY MINISTRIES
Practice address
906 NW 8TH St
Bentonville, AR 72712-4561
Phone
(479) 295-3325
Fax
(888) 630-4808
NPI assigned
Dec 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Mrs. Nikki Jo Smith
Title
Office Manager
Phone
(479) 295-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

906 NW 8TH St
Bentonville, AR 72712-4561

Mailing address

PO Box 155
Pea Ridge, AR 72751-2125
Phone (479) 295-3325

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1982175394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727512125",
            "telephone_number": "479-295-3325",
            "fax_number": "888-630-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 NW 8TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124561",
            "telephone_number": "479-295-3325",
            "fax_number": "888-630-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCIY MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-295-3325",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.