Active NPI
Leatrice Powell
- Counselor
- Lake Village, AR
National Provider Identifier
1073045753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1652 S Highway 65 82
Lake Village, AR 71653-1662 - Phone
- (870) 265-3711
- Fax
- (870) 265-3707
- NPI assigned
- Mar 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1652 S Highway 65 82
Lake Village, AR 71653-1662
Mailing address
602 N Walton Blvd
Bentonville, AR 72712-4576
Phone (479) 464-1060
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quapaw House, Inc. | Past | Accepting new patients | |
| Preferred Family Healthcare, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hot Springs, AR
- NPI 1548374499
-
- Federally Qualified Health Center (FQHC)
- Hannibal, MO
- NPI 1306721709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1073045753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 N WALTON BLVD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124576",
"telephone_number": "479-464-1060",
"fax_number": "479-271-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 S HIGHWAY 65 82",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "716531662",
"telephone_number": "870-265-3711",
"fax_number": "870-265-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "LEATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.