Individual provider Active NPI

Reianna Garner, LPC

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1164782124
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1904043 Issued in AR
Practice address
3811 Rogers Ave Ste C7
Fort Smith, AR 72903-3045
Phone
(479) 430-2300
Fax
(844) 430-0199
NPI assigned
May 24, 2012
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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 P1904043 AR Primary

Addresses

Primary practice location

3811 Rogers Ave Ste C7
Fort Smith, AR 72903-3045

Mailing address

3811 Rogers Ave Ste C7
Fort Smith, AR 72903-3045
Phone (479) 430-2300

Other practice location 1

413 S Rogers St
Clarksville, AR 72830-3743
Phone (479) 430-2300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260426000023 AR Practitioner - Mental Health Counselor 3779050828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3811 Rogers Ave
Suite C7
Fort Smith, AR 72903-3045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1904043ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Waves Counseling LLC Professional CurrentSince Jan 26, 2022 Accepting new patients

Locations

3811 Rogers Ave
Ste C7
Fort Smith, AR 72903
Phone (479) 430-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3313/brand/1/csg/1/fhir/r4

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1164782124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 ROGERS AVE STE C7",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033045",
            "telephone_number": "479-430-2300",
            "fax_number": "844-430-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 ROGERS AVE STE C7",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033045",
            "telephone_number": "479-430-2300",
            "fax_number": "844-430-0199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 S Rogers St",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "AR",
            "postal_code": "728303743",
            "country_code": "US",
            "telephone_number": "479-430-2300",
            "fax_number": "877-328-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "REIANNA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1904043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.