Dru Ellen Cessna, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2304005 Issued in AR

Practice address

2113 S 54TH St Ste 5
Rogers, AR 72758-8169

Phone

(479) 903-0070

NPI assigned

Jan 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 21, 2024 through Feb 21, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Summit Family Counseling, Inc.

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1386166791
  NPD (past)

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1104465293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 S 54TH ST STE 5",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588169",
            "telephone_number": "479-903-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 S 54TH ST STE 5",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588169",
            "telephone_number": "479-903-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESSNA",
        "first_name": "DRU",
        "middle_name": "ELLEN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2304005",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "AR1912189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginny F Cato, APRN NP-C
• Ashton Caton
• Center for Psychology, PA
• Renee M Ceola, CRNA
• Steven Derek Ceola, CRNA
• Angel R. Cestero Ruiz, MD
• Kellie Ann Chacanaca, APRN
• Andrea Kaylan Chaffin
• Tristin Chandler
• Olivia Grace Chappell, OTR

• Professional Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.