Individual provider Active NPI

Sheryl L Hollingshead, LPC

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1063833812
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1608119 Issued in AR
Practice address
101 N 11TH St Apt 242
Fort Smith, AR 72901-2451
Phone
(479) 420-5159
NPI assigned
Dec 20, 2013
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 P1608119 AR Primary

Addresses

Primary practice location

101 N 11TH St Apt 242
Fort Smith, AR 72901-2451

Mailing address

2219 S 67TH St
Fort Smith, AR 72903-4014
Phone (479) 420-5159

Other practice location 1

5004 S U St Ste 200
Fort Smith, AR 72903-3600
Phone (479) 420-5159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3811 Rogers Ave
Fort Smith, AR 72903-3045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1608119ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Behavioral Health LLC Professional CurrentSince Mar 3, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1063833812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 S 67TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034014",
            "telephone_number": "479-420-5159",
            "fax_number": "479-420-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 11TH ST APT 242",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729012451",
            "telephone_number": "479-420-5159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5004 S U St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033600",
            "country_code": "US",
            "telephone_number": "479-420-5159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSHEAD",
        "first_name": "SHERYL",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1608119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.