Individual provider Active NPI

Calvin Moore-Smith, LPC

  • Professional Counselor
  • Jacksonville, AR
National Provider Identifier
1134310048
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1310101 Issued in AR
Practice address
2126 N. 1St Street, Suite F
Jacksonville, AR 72076
Phone
(501) 982-5000
Fax
(502) 982-5007
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 P1310101 AR Primary

Addresses

Primary practice location

2126 N. 1St Street, Suite F
Jacksonville, AR 72076

Mailing address

1815 Pleasant Grove Road
Jonesboro, AR 72404
Phone (870) 933-6886

Other practice location 1

4 Shackleford Plz
Little Rock, AR 72211-1826
Phone (501) 313-1185

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

LicenseStateTypeSpecialty
P1310101ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The P.a.T. (People Advocating Transition) Center Mental Health Past Accepting new patients
The Pat Center II, Inc Past Accepting new patients

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1134310048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72404",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 N. 1ST STREET, SUITE F",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "72076",
            "telephone_number": "501-982-5000",
            "fax_number": "502-982-5007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Shackleford Plz",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722111826",
            "country_code": "US",
            "telephone_number": "501-313-1185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE-SMITH",
        "first_name": "CALVIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1310101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.