ELEMENTAL COUNSELING (NPI# 1689116048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689116048 |
| Entity Type | Organization |
| Organization Name | ELEMENTAL COUNSELING |
| Practice Address |
1002 Se C St Bentonville AR 72712-6327 |
| Practice Telephone | 4799254444 |
| Practice Fax Number | 4795449393 |
| Mailing Telephone | 4799254444 |
| Mailing Fax Number | 4795449393 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | KHARMA PARKER (OWNER) |
| Authorized Official Telephone | 4799254444 |
| Authorized Official Credential | LPC, LAMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ELEMENTAL COUNSELING & WELLNESS, LLC | 405 Ne 3rd St Ste 6, Mcminnville, OR 97128 |
| Oregon Corporations, Companies and Business Names | ELEMENTAL COUNSELING LLC | 4634 Ne Garfield Ave Ste B, Portland, OR 97211 |
| Street Address |
1002 SE C ST |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-6327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124384359 | Kenneth Wayne Davis | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2012-04-02 |
| 1750790259 | Kharma Parker | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2014-08-08 |
| 1316359748 | Stephanie Belk | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2014-05-20 |
| 1366871642 | Matthew Walker Long | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2013-11-06 |
| 1346679636 | Manda J Davis | Counselor | 1002 Se C St, Bentonville, AR 72712-6327 | 2013-11-06 |
| 1831525914 | Sweet Emotions Counseling LLC | Community/Behavioral Health | 1002 Se C St, Bentonville, AR 72712-6327 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205369824 | South Wind Psychological Services, Pllc | Clinic/Center | 803 Se Plaza Ave Ste 7, Bentonville, AR 72712-7830 | 2017-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1487272670 | Professional Counseling Associates Inc. | Clinic/Center | 977 East Cypress Street, Devalls Bluff, AR 72041 | 2020-07-14 |
| 1740807478 | Brighter Days Counseling and Wellness LLC | Clinic/Center | 100 Commercial Park Ct Apt 108, Maumelle, AR 72113-6986 | 2020-06-29 |
| 1861015745 | Counseling Associates, Inc. | Clinic/Center | 750 Boston St, Danville, AR 72833-7006 | 2020-05-26 |
| 1821610171 | Courageous Journey Psychological Services, LLC | Clinic/Center | 168 Bluefish Ave, Russellville, AR 72802-2407 | 2020-05-09 |
| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1487273199 | Restoring Hope Counseling and Consultation | Clinic/Center | 310 Mid Continent Plz Ste 325, West Memphis, AR 72301-1703 | 2020-04-13 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1417585019 | Positive Place Counseling and Consulting, LLC | Clinic/Center | 807 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.