Individual provider Active NPI

Sabrina N Lewis, LPC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1043721863
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1909115 Issued in AR
Practice address
1600 S Park St
Little Rock, AR 72202-5847
Phone
(501) 772-9395
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1909115 AR Primary

Addresses

Primary practice location

1600 S Park St
Little Rock, AR 72202-5847

Mailing address

423 Dupree Dr
Jacksonville, AR 72076-4310
Phone (501) 772-9395

Other practice location 1

14 Kaye Ln
Jacksonville, AR 72076-2402
Phone (903) 501-7517

Other practice location 2

423 DuPree Dr
Jacksonville, AR 72076-4310
Phone (012) 222-1080

Other identifiers 1

IdentifierTypeStateIssuer
235997719MedicaidAR

Other names 1

  • Sabrina N Dickerson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104001643 AR Practitioner - Mental Health Counselor 2567813546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Counseling Associates IncGroup PAC ID 0941103477, 11 clinicians

Practice addresses (Care Compare)

4354 Stockton Dr
North Little Rock, AR 72117-2917
Phone (501) 955-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1909115ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Associates Inc. CurrentSince Jan 1, 2024 Accepting new patients
Arisa Health, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Arisa Health, Inc. Mental Health Current Accepting new patients
Dickerson Family Resource Center, LLC Professional CurrentSince Sep 12, 2021 Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients
Life Strategies Counseling, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

201 W 2nd St
Lonoke, AR 72086
Phone (501) 676-3151

3601 Richards Rd
North Little Rock, AR 72117
Phone (501) 221-1843

4354 Stockton Dr
North Little Rock, AR 72117
Phone (501) 221-1843

3302 E Moore Ave
Ofc 5
Searcy, AR 72143

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

905 N 7th St
West Memphis, AR 72301
Phone (870) 735-5118

Organizations & group practices 6

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1043721863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 DUPREE DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764310",
            "telephone_number": "501-772-9395",
            "fax_number": "501-222-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S PARK ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025847",
            "telephone_number": "501-772-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Kaye Ln",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "720762402",
            "country_code": "US",
            "telephone_number": "903-501-7517",
            "fax_number": "501-222-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 DuPree Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "720764310",
            "country_code": "US",
            "telephone_number": "012-222-1080",
            "fax_number": "501-222-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SABRINA",
        "middle_name": "N",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1909115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235997719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "DICKERSON",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.