Individual provider Active NPI

Camille Donna Vanness, LPC

  • Professional Counselor
  • North Little Rock, AR
National Provider Identifier
1114030277
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0004013 Issued in AR
Practice address
Chenal Family Therapy PLC
2504 McCain Blvd Ste 200
North Little Rock, AR 72116
Phone
(501) 781-2230
Fax
(501) 305-2348
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0004013 AR Primary

Addresses

Primary practice location

Chenal Family Therapy PLC
2504 McCain Blvd Ste 200
North Little Rock, AR 72116

Mailing address

2504 McCain Blvd Ste 200
North Little Rock, AR 72116
Phone (501) 781-2230

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
I20240320001649 AR Practitioner - Mental Health Counselor 6507203049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenal Family Therapy PLCGroup PAC ID 8325395627, 39 clinicians

Practice addresses (Care Compare)

2504 McCain Blvd
Suite 200
North Little Rock, AR 72116-7612
Phone (501) 781-2230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chenal Family Therapy, PLC Mental Health CurrentSince Feb 8, 2024 Accepting new patients
Transitions Counseling Clinic PLC Mental Health PastSince Apr 9, 2023 Accepting new patients

Locations

304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294

10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300

2504 McCain Blvd
Ste 200
North Little Rock, AR 72116
Phone (501) 753-9781

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1114030277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 MCCAIN BLVD STE 200",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-781-2230",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHENAL FAMILY THERAPY PLC",
            "address_2": "2504 MCCAIN BLVD STE 200",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-781-2230",
            "fax_number": "501-305-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNESS",
        "first_name": "CAMILLE",
        "middle_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0004013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.