Individual provider Active NPI

Tricia Lynnette George, MS,CCC-SLP

  • Speech-Language Pathologist
  • Harrison, AR
National Provider Identifier
1154544542
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#1969 Issued in AR
Practice address
916 Goblin Dr
Harrison, AR 72601-8885
Phone
(870) 654-3869
Fax
(870) 505-2016
NPI assigned
Apr 11, 2007
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#1969 AR Primary

Addresses

Primary practice location

916 Goblin Dr
Harrison, AR 72601-8885

Mailing address

27104 Pine Bluff LN
Golden, MO 65658-8381
Phone (870) 715-5359

Other practice location 1

1004 S Main St
Berryville, AR 72616-4330
Phone (870) 654-3869

Other identifiers 3

IdentifierTypeStateIssuer
460162930MedicaidMO
1639440324OtherARNPI
149949721MedicaidAR

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
SP#1969ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services of Northwest Arkansas, LLC Speech-Language Pathologist CurrentSince Jan 21, 2022 Accepting new patients

Locations

1004 S Main St
Berryville, AR 72616
Phone (870) 423-1077

916 Goblin Dr
Harrison, AR 72601
Phone (870) 204-5330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1154544542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27104 PINE BLUFF LN",
            "city": "GOLDEN",
            "state": "MO",
            "postal_code": "656588381",
            "telephone_number": "870-715-5359",
            "fax_number": "870-505-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 GOBLIN DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726018885",
            "telephone_number": "870-654-3869",
            "fax_number": "870-505-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 S Main St",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "AR",
            "postal_code": "726164330",
            "country_code": "US",
            "telephone_number": "870-654-3869",
            "fax_number": "870-505-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "TRICIA",
        "middle_name": "LYNNETTE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460162930",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639440324",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149949721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.