Individual provider Active NPI

Callie Swaite, LPC

  • Mental Health Counselor
  • Wynne, AR
National Provider Identifier
1063536837
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
206 Levesque Ave E
Wynne, AR 72396-2938
Phone
(870) 318-5623
Fax
(870) 259-4806
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

206 Levesque Ave E
Wynne, AR 72396-2938

Mailing address

206 Levesque Ave E
Wynne, AR 72396-2938
Phone (870) 318-5623

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
I20241015003033 AR Practitioner - Mental Health Counselor 0840722807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Callie Swaite, LLC Mental Health CurrentSince Jul 28, 2024 Accepting new patients
206 Counseling, LLC Mental Health CurrentSince Feb 2, 2025 Accepting new patients
Life Strategies Counseling, Inc. Past Accepting new patients
Life Strategies Counseling, Inc. Past Accepting new patients

Locations

206 Levesque Ave E
Wynne, AR 72396
Phone (870) 318-5623

Organizations & group practices 4

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1063536837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LEVESQUE AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962938",
            "telephone_number": "870-318-5623",
            "fax_number": "870-259-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LEVESQUE AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962938",
            "telephone_number": "870-318-5623",
            "fax_number": "870-259-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAITE",
        "first_name": "CALLIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

Verify at the official NPI Registry.