Individual provider Active NPI

Robin Michelle Williford, LPC

  • Professional Counselor
  • Barling, AR
National Provider Identifier
1073795589
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1104026 Issued in AR
Practice address
815 Fort St
Suite a
Barling, AR 72923-2164
Phone
(479) 494-5700
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A0811094 AR
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X P1104026 AR Primary

Addresses

Primary practice location

815 Fort St
Suite a
Barling, AR 72923-2164

Mailing address

302 N 37TH St
Van Buren, AR 72956-4022
Phone (479) 494-5760

Other practice location 1

3111 S 70th St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

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
I20240604004082 AR Practitioner - Mental Health Counselor 7214386655 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A0811094ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Counseling & Guidance Center, Inc CurrentSince Apr 16, 2024 Accepting new patients
The Guidance Center - Whole Health CurrentSince Apr 16, 2024 Accepting new patients

Locations

174 N Welsh Ave
Booneville, AR 72927
Phone (479) 675-3909

311 S Central St
Clarksville, AR 72830
Phone (479) 754-0277

418 S 17th St
Fort Smith, AR 72901
Phone (479) 478-6664

3113 S 70th St
Fort Smith, AR 72903
Phone (479) 478-6664

3109 S 70th St
Fort Smith, AR 72903
Phone (479) 452-9490

3111 S 70th St
Fort Smith, AR 72903

307 Cherry St
Mena, AR 71953
Phone (479) 394-5277

415 S 6th St
Paris, AR 72855
Phone (479) 963-2140

2705B Oak Ln
Van Buren, AR 72956
Phone (479) 471-5950

2705 Oak Ln
#A
Van Buren, AR 72956
Phone (479) 474-8084

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

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.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073795589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N 37TH ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564022",
            "telephone_number": "479-494-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FORT ST",
            "address_2": "SUITE A",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729232164",
            "telephone_number": "479-494-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIFORD",
        "first_name": "ROBIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A0811094",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1104026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barling, AR

Sources for this page

Verify at the official NPI Registry.