ADDIE STIPP


Address: 2153 E Joyce Blvd, Fayetteville, AR 72703-4714
Phone: 3183447746

ADDIE STIPP (NPI# 1730687997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730687997
Entity Type Individual
Full Name ADDIE STIPP
Credential LAC
Practice Address 2153 E Joyce Blvd
Fayetteville
AR 72703-4714
Mailing Address 5900 W Stoney Brook Rd Apt 5310
Rogers
AR 72758-4639
Practice Telephone 3183447746
Enumeration Date 2018-01-23
Last Update Date 2020-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
A1810148 AR Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 227125795 05

Office Location

Street Address 2153 E JOYCE BLVD
City FAYETTEVILLE
State AR
Zip Code 72703-4714

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285898700 Tracy Lee Marshall Counselor 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2008-07-14
1326686619 Demarcus G Wiggins Case Manager/Care Coordinator 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2019-12-17
1649812355 Stacy M Lee Case Manager/Care Coordinator 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2019-10-14
1306494182 Holly Womack-nelson Case Manager/Care Coordinator 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2019-08-26
1386290443 Wade Peter Freund Counselor 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2019-08-14
1356811046 Jennifer Jane Cook Counselor 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2018-11-26
1073095451 Rachel Riggs Case Manager/Care Coordinator 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2018-09-03
1609356245 Katie Davis Case Manager/Care Coordinator 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2018-08-14
1467931204 Elizabeth Evans Mongeau Counselor 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2018-08-13
1932610524 Breanne Gilchrist Social Worker 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 2017-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841899986 Cynthia Hrdlichka Counselor 2224 E Elaine Ave, Fayetteville, AR 72703-4507 2020-10-20
1568069169 Blaire Bradbury Counselor 1466 N Desoto Pl, Fayetteville, AR 72703-1953 2020-10-06
1588294631 Puzzle Collaborative Counselor 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 2020-01-16
1700421724 Waylon Vande Hoef Counselor 1925 N Green Acres Rd, Fayetteville, AR 72703-2617 2019-11-13
1730640137 Sherrita Hedgepeth Counselor 1351 Glen Iris Dr Apt 105, Fayetteville, NC 28314-6190 2019-03-28
1689139362 Resiliency Behavioral Health Services LLC Counselor 145 Govenors Square, Ste A, Fayetteville, GA 30269 2019-02-06
1073006540 Rona Gooden Counselor 706 Dandridge Dr, Fayetteville, NC 28303-2017 2018-06-10
1194229245 The Welling Place LLC Counselor 2525 Raeford Rd Ste C, Fayetteville, NC 28305-5092 2018-03-22
1104320399 Tia Porterfield Counselor 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 2018-03-21
1376062539 Monique R Darnell Counselor 320 W. Lanier Avenue Ste 200, Fayetteville, GA 30214 2017-09-19
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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