Individual provider Active NPI

Melissa Hoekstra, MS, LAC

  • Mental Health Counselor
  • Bella Vista, AR
National Provider Identifier
1073345476
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2405006 Issued in AR
Practice address
632 W Lancashire Blvd
Bella Vista, AR 72715-3027
Phone
(479) 595-0333
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 A2405006 AR Primary

Addresses

Primary practice location

632 W Lancashire Blvd
Bella Vista, AR 72715-3027

Mailing address

902 NE Halifax PL
Bentonville, AR 72712-8660
Phone (901) 786-3530

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A2405006ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chenal Family Therapy, PLC Mental Health CurrentSince Aug 18, 2024 Accepting new patients

Locations

632 W Lancashire Blvd
Bella Vista, AR 72715

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1073345476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 NE HALIFAX PL",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727128660",
            "telephone_number": "901-786-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W LANCASHIRE BLVD",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153027",
            "telephone_number": "479-595-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "MELISSA",
        "credential": "MS, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2405006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.