Individual provider Active NPI

Brittany Lynn Neeley, LPC

  • Professional Counselor
  • Jonesboro, AR
National Provider Identifier
1013220011
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1401005 Issued in AR
Practice address
1000 S Caraway Rd Ste 113
Jonesboro, AR 72401-4403
Phone
(870) 819-2076
Fax
(833) 463-2401
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1401005 AR Primary
Mental Health Counselor 101YM0800X P1401005 AR

Addresses

Primary practice location

1000 S Caraway Rd Ste 113
Jonesboro, AR 72401-4403

Mailing address

1000 S Caraway Rd Ste 113
Jonesboro, AR 72401-4403
Phone (870) 819-2076

Other identifiers 2

IdentifierTypeStateIssuer
182510795MedicaidAR
5CC83OtherARBCBS

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
P1401005ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Bloom Counseling PLLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

208 S Main St
Jonesboro, AR 72401
Phone (901) 488-3971

Organizations & group practices 1

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1013220011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S CARAWAY RD STE 113",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014403",
            "telephone_number": "870-819-2076",
            "fax_number": "833-463-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S CARAWAY RD STE 113",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014403",
            "telephone_number": "870-819-2076",
            "fax_number": "833-463-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1401005",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1401005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182510795",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5CC83",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.