Faith Whiteside, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2404006 Issued in AR

Practice address

640 S 6TH St Ste a
Arkadelphia, AR 71923-6048

Phone

(870) 246-4123

NPI assigned

Jun 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ouachita Regional Counseling and Mental Health Center, Inc.Group PAC ID 7416853445, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ouachita Regional Counseling & Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hot Springs, AR
  • NPI 1821087123
  Medicare reassignment Care Compare group NPD
• Ouachita Regional Counseling and Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Benton, AR
  • NPI 1780440305
  NPD
• Ouachita Regional Counseling & Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Malvern, AR
  • NPI 1972756419
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1154998136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WELLNESS WAY",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136478",
            "telephone_number": "501-624-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S 6TH ST STE A",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719236048",
            "telephone_number": "870-246-4123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042233",
            "country_code": "US",
            "telephone_number": "501-332-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "FAITH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2404006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley D Wells
• Trista Dianne Whaley
• Diamond White
• Jeffery White
• Leslie White, CCC-SLP
• Kirby Fene Whitmore
• Terri Lynn Whitt, M.S.
• Abbey Wilder, SLP
• Ashley Williams, ATC
• Casey Dean Williams, PHARM.D

• Mental Health Counselor in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.