Individual provider Active NPI

Lucy Ellen Towbin, LCSW

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1063185452
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
348-C Issued in AR
Practice address
2418 S State St
Little Rock, AR 72206-2120
Phone
(501) 952-6669
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 348-C AR Primary

Addresses

Primary practice location

2418 S State St
Little Rock, AR 72206-2120

Mailing address

2418 S State St
Little Rock, AR 72206-2120
Phone (501) 952-6669

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
348-CARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Wellness and Recovery, LLC Mental Health CurrentSince Jan 1, 2023 Accepting new patients

Locations

1405 N Pierce St
Ste 301
Little Rock, AR 72207
Phone (501) 428-6980

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1063185452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 S STATE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722062120",
            "telephone_number": "501-952-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 S STATE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722062120",
            "telephone_number": "501-952-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWBIN",
        "first_name": "LUCY",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "348-C",
            "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 Jul 30, 2021; 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.