NPI 1427864495 · live from the CMS NPI Registry
Center For Psychology And Counseling
Psychologist, Clinical in Fayetteville, AR. National Provider Identifier 1427864495, active.
NPI record
| NPI | 1427864495 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 118 E Sunbridge Dr, Fayetteville, AR 72703 |
| Practice phone | 479-444-1400 |
| Enumerated | December 5, 2024 |
| Last updated | May 15, 2025 |
| Authorized official | Jennifer Creel, Assistant Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional | 101YP2500X | — |
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.