Sarah Gibbons, LPC
Individual provider Active NPI Professional Counselor · Fort Smith, AR
NPI 1124490768 · NPPES record last updated May 1, 2020
Key facts
- NPI
- 1124490768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P2004006 (AR)
- Practice address
- 3111 S 70TH St
Fort Smith, AR 72903-5017 - Phone
- (479) 452-6650
- Fax
- (479) 452-5847
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 28, 2024 through Jun 28, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1802013 | AR | MD | Mental Health Counselor |
| P2004006 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Whitson Group, LLC | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1802013 | AR | |
| Professional Counselor | 101YP2500X | P2004006 | AR | Yes |
Addresses
Primary practice location
3111 S 70TH St
Fort Smith, AR 72903-5017
Mailing address
PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650
Other names
- Sarah Morton
Other providers in Fort Smith, AR
- Leah Gerred
- Charles Joshua Geske
- Amy Gibbons
- David Gibbons
- Glenn Gregory Gibbons
- Mandy Sue Gibbs
- Awbrey Lanai Gibby
- Beth Gibson
- Charles Gibson
- Geoff Christopher Gibson
All providers in Fort Smith, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.