KERRY UNDERWOOD (NPI# 1336512979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336512979 |
| Entity Type | Organization |
| Organization Name | KERRY UNDERWOOD |
| Practice Address |
5401 Rogers Ave Suite 200 Fort Smith AR 72903-3745 |
| Practice Telephone | 4792268403 |
| Practice Fax Number | 4792500334 |
| Mailing Telephone | 4792268403 |
| Mailing Fax Number | 4792500334 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | DR. MARY JEPPSEN (PARTNER) |
| Authorized Official Telephone | 4792268403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | A1101002 | AR | Behavioral Health & Social Service Providers |
| Street Address |
5401 ROGERS AVE SUITE 200 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457719767 | Narissa R. Griffin, Ph.d., Pllc | Community/Behavioral Health | 5401 Rogers Ave, Suite 201, Fort Smith, AR 72903-3745 | 2016-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679917397 | Jeremy Dale Rogers | Marriage & Family Therapist | 5306 Labelle Ct, Fort Smith, AR 72903-2680 | 2013-04-24 |
| 1184657108 | Paul Rust Inc. | Marriage & Family Therapist | 5111 Rogers Ave., Suite 504, Fort Smith, AR 72903 | 2006-07-10 |
| 1962019604 | Therapy Friends Counseling and Consulting | Marriage & Family Therapist | 5101 Old Greenwood Rd Ste 108, Fort Smith, AR 72903-6913 | 2020-09-27 |
| 1053874818 | The Storie House LLC | Marriage & Family Therapist | 4019 Massard Rd, Fort Smith, AR 72903-6221 | 2019-04-09 |
| 1558732800 | Stacy Diane Adams | Marriage & Family Therapist | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2015-10-13 |
| 1497958722 | Geoff Christopher Gibson | Marriage & Family Therapist | 1340 S Waldron Rd, Ste #2, Fort Smith, AR 72903-2556 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347726 | Bethany Christian Services of Ak | Marriage & Family Therapist | 1100 N University Ave Ste 66, Little Rock, AR 72207-6300 | 2020-02-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1346618352 | Thrive Counseling Services | Marriage & Family Therapist | 105 E Arch Ave, Searcy, AR 72143-7705 | 2015-09-08 |
| 1528459419 | Lauren Mccoy | Marriage & Family Therapist | 701 N Walton Blvd Unit 6, Bentonville, AR 72712-4548 | 2015-02-12 |
| 1982017828 | Kelsey Ann Bennett | Marriage & Family Therapist | 306 S Charles St Apt 6, Searcy, AR 72143-6891 | 2014-06-09 |
| 1427294362 | Lisa Current, P.a. | Marriage & Family Therapist | 415 N. Mckinley Street, Suite 210, Little Rock, AR 72205-3265 | 2008-12-24 |
| 1952578502 | Vonda Keasler | Marriage & Family Therapist | 211 N 23rd St, Paragould, AR 72450-3949 | 2008-05-13 |
| 1356536387 | Melissa K Brannan | Marriage & Family Therapist | 405 W. Main Street, Huntsville, AR 72740 | 2007-09-12 |
| 1114145919 | Velma Louise Baltimore | Marriage & Family Therapist | 2106 Brown St, Little Rock, AR 72204-4158 | 2007-04-24 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.