Individual provider Active NPI

Rachel Wirth, MS, EDS, LPC, WFR

  • Mental Health Counselor
  • Fayetteville, AR
National Provider Identifier
1104540483
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2007098 Issued in AR
Practice address
1949 N Green Acres Rd Ste B
Fayetteville, AR 72703-2691
Phone
(479) 332-3653
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 A2007098 AR Primary

Addresses

Primary practice location

1949 N Green Acres Rd Ste B
Fayetteville, AR 72703-2691

Mailing address

1949 N Green Acres Rd Ste B
Fayetteville, AR 72703-2691
Phone (479) 601-6507

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
A2007098ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fearless Therapy LLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

1949 N Green Acres Rd
Ste B
Fayetteville, AR 72703
Phone (479) 332-3653

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1104540483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 N GREEN ACRES RD STE B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032691",
            "telephone_number": "479-601-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 N GREEN ACRES RD STE B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032691",
            "telephone_number": "479-332-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "RACHEL",
        "credential": "MS, EDS, LPC, WFR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2007098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.