Individual provider Active NPI

William M Heath, LPC

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1053743096
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1405048 Issued in AR
Practice address
4107 Massard Rd
Fort Smith, AR 72903-6223
Phone
(479) 657-6636
NPI assigned
Aug 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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 P1405048 AR Primary

Addresses

Primary practice location

4107 Massard Rd
Fort Smith, AR 72903-6223

Mailing address

4107 Massard Rd
Fort Smith, AR 72903-6223
Phone (479) 657-6636

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
I20241112003312 AR Practitioner - Mental Health Counselor 6305370404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3111 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1405048ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center - Whole Health CurrentSince Oct 7, 2024 Accepting new patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients

Locations

3111 S 70th St
Fort Smith, AR 72903

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1053743096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 MASSARD RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036223",
            "telephone_number": "479-657-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MASSARD RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036223",
            "telephone_number": "479-657-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-01",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1405048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.