KEVIN NATHANIEL PHELPS SPURGERS (NPI# 1043661135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043661135 |
| Entity Type | Individual |
| Full Name | KEVIN NATHANIEL PHELPS SPURGERS |
| Other Name | KEVIN NATHANIEL PHELPS |
| Credential | MS, LPC, NCC, TA |
| Practice Address |
740 S Salem Rd Ste 106 Conway AR 72034-5520 |
| Practice Telephone | 5012088062 |
| Practice Fax Number | 5012088062 |
| Mailing Telephone | 5012088062 |
| Mailing Fax Number | 5012088062 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A1703186 | AR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Skyline Dr, Russellville, AR 728013362 | 4799675570 | 4798905364 |
| 523 Locust Ave, Conway, AR 720345324 | 5012088062 | 5012088062 |
| Street Address |
740 S SALEM RD STE 106 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801456850 | Align Counseling & Wellness | Counselor | 740 S Salem Rd Ste 106, Conway, AR 72034-5520 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471509 | Access Counseling & Assessment Services, LLC | Counselor | 505 Amity Rd Ste 604, Conway, AR 72032-5993 | 2020-09-15 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1285261131 | Mary Hutson | Counselor | 766 Harkrider St, Conway, AR 72032-4401 | 2020-03-23 |
| 1679045314 | Dawnavese Sadler | Counselor | 1227 16th Ave # 179, Conway, SC 29526-3483 | 2018-12-19 |
| 1942742259 | Patricia Bradley | Counselor | 2501 Dave Ward Dr, Suite A5, Conway, AR 72034-6091 | 2016-11-17 |
| 1316322324 | Susanna Lorraine Aich | Counselor | 915 Oak St Ste 103, Conway, AR 72032-4389 | 2015-07-21 |
| 1922498807 | Alex Schluterman | Counselor | 1622 Donaghey Ave, Conway, AR 72034-3221 | 2015-01-29 |
| 1639587470 | Johari Family Services, LLC | Counselor | 800 Legion St, Suite 100-c, Conway, SC 29526-4825 | 2014-07-24 |
| 1407190200 | Melissa Lynn Lewis | Counselor | 1765 Arden Ln, Conway, AR 72034-3550 | 2012-11-16 |
| 1689957136 | Angela Cartwright | Counselor | 575 Club Ln Ste 103, Conway, AR 72034-3681 | 2011-09-21 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.