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PURE BALANCE OF NWA PLLC
NPI 1073359931
Psychiatry & Neurology - Psychiatry in Rogers, AR

Active since July 01, 2024CLIA 04D2320713 · Waiver
3608 W SOUTHERN HILLS BLVD, ROGERS, AR 72758(479) 633-7052 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Jul 1, 2024 (2 updates tracked since 2024).

About Pure Balance Of Nwa Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE BALANCE OF NWA PLLC (NPI 1073359931) is a healthcare organization registered as a psychiatry in Rogers, Arkansas and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Jacob Boydstun, Owner, as its authorized official.

NPPES Registry Identity

NPI1073359931
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePURE BALANCE OF NWA PLLC
Location Address3608 W SOUTHERN HILLS BLVDRogers, AR 72758-8013
Mailing Address3608 W Southern Hills BlvdRogers, AR 72758-8013 · (479) 633-7052
Phone(479) 633-7052
Organization SubpartNo
Authorized OfficialJacob BoydstunOwner · (432) 770-5923
Enumeration DateJuly 1, 2024
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1073359931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3608 W SOUTHERN HILLS BLVD, Rogers, AR 72758
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2320713

Pure Balance Of Nwa PLLC · Rogers, AR
Active · expires Mar 23, 2027
CLIA Number04D2320713
Laboratory TypeMental Health Clinic
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorDr. Jacob Boydstun
Laboratory Phone(479) 633-7052
Laboratory LocationPure Balance Of Nwa PLLC3608 W Southern Hills Blvd, Unit #4, Rogers, AR 72758
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL HELEN YOUNG LCSW
Social Worker (Clinical)
3608 W SOUTHERN HILLS BLVD
ROGERS, AR 72758
Benton County (479) 633-7052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Balance Of Nwa PLLC's NPI number?

The NPI number for Pure Balance Of Nwa PLLC is 1073359931. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Pure Balance Of Nwa PLLC located?

Pure Balance Of Nwa PLLC is located at 3608 W Southern Hills Blvd, Rogers, AR 72758. The listed phone number is (479) 633-7052.

What is Pure Balance Of Nwa PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Pure Balance Of Nwa PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2320713) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pure Balance Of Nwa PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Pure Balance Of Nwa PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pure Balance Of Nwa PLLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.