MRS. KERRY ANN UNDERWOOD (NPI# 1013268531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013268531 |
| Entity Type | Individual |
| Full Name | MRS. KERRY ANN UNDERWOOD |
| Credential | MS, LPC, LMFT |
| Practice Address |
409 W Poplar St Rogers AR 72756-4560 |
| Mailing Address |
411 W. Poplar Street Rogers AR 72756 |
| Practice Telephone | 4799868655 |
| Practice Fax Number | 4796339398 |
| Mailing Telephone | 4799868655 |
| Mailing Fax Number | 4796339398 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1601004 | AR | Behavioral Health & Social Service Providers |
| Street Address |
409 W POPLAR ST |
| City | ROGERS |
| State | AR |
| Zip Code | 72756-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1669009049 | Keller Davis Sims | Physical Therapist | 2403 W Hudson Rd Ste, Ste 1, Rogers, AR 72756 | 2020-03-25 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1629404868 | Natalie Elizabeth Myers | Occupational Therapy Assistant | 1000 West Poplar St, Rogers, AR 72756 | 2013-09-19 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1538420286 | Allison R Corter | Speech-Language Pathologist | 1000 W. Poplar St, Rogers, AR 72756 | 2012-05-30 |
| 1871859496 | Fisher Denture & Dental Care | Dentist | 4404 W. Walnut, Suite 2, Rogers, AR 72756 | 2012-04-09 |
| 1407130487 | Timeni Strauss | Occupational Therapy Assistant | 1000 W. Poplar Street, Rogers, AR 72756 | 2011-10-07 |
| 1316192768 | William Barton Tate | Obstetrics & Gynecology | 1233 Poplar Pl, Rogers, AR 72756 | 2008-11-27 |
| 1093905069 | Sunshine School & Development Center | Day Training, Developmentally Disabled Services | 3400 Woods Lanee, Rogers, AR 72756 | 2007-07-26 |
| Find all providers in zip 72756 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141202 | Leslie Meeker | Counselor | 10068 Buckskin Cir, Rogers, AR 72758-7575 | 2020-07-15 |
| 1245724251 | Sterling Yard, Inc. | Counselor | 1200 W Walnut St Ste B1100, Rogers, AR 72756-3562 | 2018-06-22 |
| 1972018760 | Jason Scott Wilson | Counselor | 1225 W Hudson Rd, Rogers, AR 72756-2330 | 2017-12-03 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1205382793 | Momentum Counseling, Pllc | Counselor | 593 S Horsebarn Rd Ste 102, Rogers, AR 72758-8797 | 2016-08-25 |
| 1710341417 | Anne E Rana | Counselor | 2105 S 54th St Ste 2, Rogers, AR 72758-8191 | 2016-04-08 |
| 1679955926 | Nwa Premier Counseling | Counselor | 5305 W Village Pkwy Ste 8, Rogers, AR 72758-8116 | 2015-06-23 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| 1679895817 | Megan M Williams | Counselor | 2105 S 54th St, Suite 2, Rogers, AR 72758-8169 | 2010-02-15 |
| Find all providers in ROGERS | ||||
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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.