Individual provider Active NPI

Rebecca Whitson, LPC

  • Mental Health Counselor
  • Fort Smith, AR
National Provider Identifier
1174184733
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1906072 Issued in AR
Practice address
2917 Old Greenwood Rd Ste 3
Fort Smith, AR 72903-4559
Phone
(479) 459-2166
NPI assigned
Jun 25, 2019
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1906072 AR Primary

Addresses

Primary practice location

2917 Old Greenwood Rd Ste 3
Fort Smith, AR 72903-4559

Mailing address

3404 S 28TH St
Fort Smith, AR 72901-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 12, 2024 through Jun 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P1906072ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Whitson Group, LLC Mental Health CurrentSince Jan 29, 2023 Accepting new patients

Locations

2917 Old Greenwood Rd
Ste 3
Fort Smith, AR 72903
Phone (479) 459-2166

3401 Rogers Ave
Ste A
Fort Smith, AR 72903
Phone (479) 777-8277

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1174184733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 S 28TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 OLD GREENWOOD RD STE 3",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034559",
            "telephone_number": "479-459-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1906072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.