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RIVERBASE COUNSELING CLINIC PLLC
NPI 1790678894
Counselor - Professional in Ozark, AR

Active since May 29, 2025
2405 VILLA DR, OZARK, AR 72949(479) 214-4319 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 23, 2026, May 29, 2025 (2 updates tracked since 2025).

About Riverbase Counseling Clinic Pllc NPPES

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

RIVERBASE COUNSELING CLINIC PLLC (NPI 1790678894) is a healthcare organization registered as a professional in Ozark, Arkansas and active in the NPI registry since May 2025. The organization lists Lindsey Fultz, Manager, as its authorized official.

NPPES Registry Identity

NPI1790678894
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameRIVERBASE COUNSELING CLINIC PLLC
Location Address2405 VILLA DROzark, AR 72949-9452
Mailing AddressPo Box 41Ozark, AR 72949-0041 · (479) 209-5557
Phone(479) 214-4319
Organization SubpartNo
Authorized OfficialLindsey FultzManager · (479) 209-5557
Enumeration DateMay 29, 2025
Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1790678894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2405 VILLA DR, Ozark, AR 72949
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Other Identifiers 4

Other14028085AR · Caqh
Other1790678894AR · Npi
OtherP1701221AR · Lpc
Medicaid342769744AR

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

Other Providers at the Same Location NPPES

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

LINDSEY FULTZ LPC
Counselor (Professional)
2405 VILLA DR
OZARK, AR 72949
Franklin County (479) 214-4319

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 Riverbase Counseling Clinic PLLC's NPI number?

The NPI number for Riverbase Counseling Clinic PLLC is 1790678894. It was assigned to this organization in the NPPES registry on May 29, 2025.

Where is Riverbase Counseling Clinic PLLC located?

Riverbase Counseling Clinic PLLC is located at 2405 Villa Dr, Ozark, AR 72949. The listed phone number is (479) 214-4319.

What is Riverbase Counseling Clinic PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Riverbase Counseling Clinic PLLC was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.