Active NPI
Karissa Lynn Baggett, LAC
- Mental Health Counselor
- Beebe, AR
National Provider Identifier
1184075871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2410017
- Practice address
- 106 N Pecan St
Beebe, AR 72012-2524 - Phone
- (501) 232-2600
- Fax
- (501) 242-0820
- NPI assigned
- Jun 24, 2016
- Last updated
- Oct 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A2410017 | AR | Primary |
Addresses
Primary practice location
106 N Pecan St
Beebe, AR 72012-2524
Mailing address
106 N Pecan St
Beebe, AR 72012-2524
Phone (501) 232-2600
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
| License | State | Type | Specialty |
|---|---|---|---|
| A2410017 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Within Counseling Group, LLC | Mental Health | Current | Accepting new patients |
| Families, Inc of Arkansas | Mental Health | Past | Accepting new patients |
Locations
106 N Pecan St
Beebe, AR 72012
Phone (501) 232-2600
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jonesboro, AR
- NPI 1770535569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1184075871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 N PECAN ST",
"city": "BEEBE",
"state": "AR",
"postal_code": "720122524",
"telephone_number": "501-232-2600",
"fax_number": "501-242-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N PECAN ST",
"city": "BEEBE",
"state": "AR",
"postal_code": "720122524",
"telephone_number": "501-232-2600",
"fax_number": "501-242-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGGETT",
"first_name": "KARISSA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-24",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2410017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beebe, AR
- Olivia Anderson, PHARMD
- Arcare (ARcare142)
- Arkansas Health Group (Beebe Family Clinic)
- William James Ashburn
- Rebekah Askew, SLP-CFY
- Baptist Health (Baptist Health Family Clinic - Beebe)
- Lesley Ann Barry, M.S., CCC-SLP
- Robert W. Beavers, D.D.S.
- Beebe Chiropractic, PA (Power Chiropractic 6)
- Beebe Drug Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.