Active NPI
Betty C. Eash, LPC
- Professional Counselor
- Cherokee Village, AR
National Provider Identifier
1124166301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1302013
- Practice address
- 33 Choctaw Trce
Cherokee Village, AR 72529 - Phone
- (870) 972-4939
- Fax
- (870) 972-4911
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1001008 | AR | |
| Professional Counselor | 101YP2500X | P1302013 | AR | Primary |
Addresses
Primary practice location
33 Choctaw Trce
Cherokee Village, AR 72529
Mailing address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939
Other practice location 1
1800 Myers St
Batesville, AR 72501-7344
Phone (866) 533-1761 ext. 1503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124166301 | Medicaid | AR |
Other names 1
- Mrs. Betty C. Eash
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1001008 | AR | MD | Mental Health Counselor |
| P1302013 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1124166301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 BROWNS LN",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017213",
"telephone_number": "870-972-4939",
"fax_number": "870-972-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 CHOCTAW TRCE",
"city": "CHEROKEE VILLAGE",
"state": "AR",
"postal_code": "72529",
"telephone_number": "870-972-4939",
"fax_number": "870-972-4911"
}
],
"practiceLocations": [
{
"address_1": "1800 Myers St",
"address_purpose": "LOCATION",
"city": "Batesville",
"state": "AR",
"postal_code": "725017344",
"country_code": "US",
"telephone_number": "866-533-1761 x1503",
"fax_number": "870-994-7868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASH",
"first_name": "BETTY",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1001008",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1302013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124166301",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETTY",
"last_name": "EASH",
"middle_name": "C.",
"prefix": "MRS.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Cherokee Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.