Individual provider Active NPI

Charlie Simpson III, LAMFT, LAC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1003056938
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A1012137 Issued in AR
Practice address
4 Shackleford PLZ Ste 100
Little Rock, AR 72211-1843
Phone
(501) 313-1185
NPI assigned
Mar 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A1012137 AR Primary
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X A1109014 AR

Addresses

Primary practice location

4 Shackleford PLZ Ste 100
Little Rock, AR 72211-1843

Mailing address

PO Box 251703
Little Rock, AR 72225-1703
Phone (501) 952-7518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1012137ARMDProfessional Counselor
A1109014ARMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Relationship Counseling Current Accepting new patients
Arkansas Relationship Counseling Center Professional CurrentSince Nov 18, 2025 Accepting new patients

Locations

4 Shackleford Plz
Ste 100
Little Rock, AR 72211
Phone (501) 222-3463

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1003056938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251703",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251703",
            "telephone_number": "501-952-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHACKLEFORD PLZ STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111843",
            "telephone_number": "501-313-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "CHARLIE",
        "name_suffix": "III",
        "credential": "LAMFT, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A1012137",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "A1109014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.