Active NPI
Haleigh Kathleen Edwards, MS, LAC, NCC
- Professional Counselor
- Little Rock, AR
National Provider Identifier
1023756129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A2108003
- Practice address
- 7509 Cantrell Rd Ste 205
Little Rock, AR 72207-2500 - Phone
- (501) 396-9308
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A2108003 | AR | Primary |
Addresses
Primary practice location
7509 Cantrell Rd Ste 205
Little Rock, AR 72207-2500
Mailing address
8240 Nora LN
Sherwood, AR 72120-9693
Phone (918) 521-7989
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2108003 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creating Space Therapy, LLC | Current | Accepting new patients |
Locations
7509 Cantrell Rd
Ste 205
Little Rock, AR 72207
Phone (501) 214-0660
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.
-
- Community/Behavioral Health Agency
- Little Rock, AR
- NPI 1740928845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1023756129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8240 NORA LN",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721209693",
"telephone_number": "918-521-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7509 CANTRELL RD STE 205",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722072500",
"telephone_number": "501-396-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "HALEIGH",
"middle_name": "KATHLEEN",
"credential": "MS, LAC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "A2108003",
"primary": true
}
],
"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 Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.