PATRICIA LOUISE DOUGLAS LAC
NPI 1497643068
Counselor - Mental Health in Bentonville, AR

NPI Status: Active since June 24, 2025

Contact Information

2205 PHYLLIS ST
BENTONVILLE, AR
ZIP 72712
Phone: (479) 878-1966
Fax: (479) 878-1966

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  • Individual
  • Female
  • Counselor
  • Mental Health

About PATRICIA DOUGLAS

This page provides the complete NPI Profile along with additional information for Patricia Douglas, a provider established in Bentonville, Arkansas with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1497643068 assigned on June 2025. The practitioner's primary taxonomy code is 101YM0800X with license number A2505009 (AR). The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1497643068
Provider Name
PATRICIA LOUISE DOUGLAS LAC
Gender
Female
Entity Type
Individual
Location Address
2205 PHYLLIS ST BENTONVILLE, AR 72712
Location Phone
(479) 878-1966
Location Fax
(479) 878-1966
Mailing Address
2400 S 48TH ST SPRINGDALE, AR 72762
Mailing Phone
(479) 750-2020
Is Sole Proprietor?
No
Enumeration Date
06-24-2025
Last Update Date
06-24-2025
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A mental health counselor like Patricia Douglas provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
A2505009
License State
AR

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497643068
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871246012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 2 + 4 + 6 + 0 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1497643068 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679520894 DEBORAH LYNN OXNER RN
Individual
Registered Nurse (Psychiatric/Mental Health)2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 750-2020
1245277748 ANGELIKA ALOISIA WILL MHPP
Individual
Genetic Counselor, MS2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 750-2020
1114965639 SCOTT CHARLES KOENIG MHPP
Individual
Genetic Counselor, MS2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 750-2020
1609818814 CHRIS ANDRE PULLIAM MHPP
Individual
Genetic Counselor, MS2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 750-2020
1669415139 DENISE MARY FITZGERALD LCSW
Individual
Social Worker (Clinical)2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 750-2020
1477702470 ELLEN ANN BURLESON MHPP
Individual
Counselor2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 750-2020
1467842062 KRYSTA YOUNG
Individual
Counselor2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 750-2020
1699532887 KELLY DIANE TURNER LAC
Individual
Counselor (Mental Health)2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 725-6000
1619323508 MALORIE LAYNE LOPEZ LCSW
Individual
Social Worker (Clinical)2205 PHYLLIS ST
BENTONVILLE, AR 72712
(479) 725-6000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497643068, enumerated in the NPI registry as an "individual" on June 24, 2025

The provider is located at 2205 Phyllis St Bentonville, Ar 72712 and the phone number is (479) 878-1966

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on June 24, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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