Individual provider Active NPI

Brandi Michelle Dorsey, LPC

  • Professional Counselor
  • Springdale, AR
National Provider Identifier
1154890887
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2011097 Issued in AR
Practice address
3511 Silent Grove Rd
Springdale, AR 72762-7913
Phone
(479) 799-7473
Fax
(888) 375-4518
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 P2011097 AR Primary

Addresses

Primary practice location

3511 Silent Grove Rd
Springdale, AR 72762-7913

Mailing address

6987 W Wheeler Rd
Fayetteville, AR 72704-5744
Phone (479) 799-7473

Other practice location 1

6987 W Wheeler Rd
Fayetteville, AR 72704-5744
Phone (479) 799-7473

Other identifiers 1

IdentifierTypeStateIssuer
258367719MedicaidAR

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
P2011097ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Winnow Counseling LLC Professional CurrentSince Dec 8, 2024 Accepting new patients

Locations

3511 Silent Grove Rd
Springdale, AR 72762
Phone (479) 750-8775

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1154890887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6987 W WHEELER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045744",
            "telephone_number": "479-799-7473",
            "fax_number": "888-375-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 SILENT GROVE RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627913",
            "telephone_number": "479-799-7473",
            "fax_number": "888-375-4518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6987 W Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727045744",
            "country_code": "US",
            "telephone_number": "479-799-7473",
            "fax_number": "888-518-6975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "BRANDI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2011097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258367719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.