Individual provider Active NPI

Betsy A Dedrick, LPC, LMFT

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1194574756
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P24110001 Issued in AR
Practice address
5507 Ranch Dr Ste 202
Little Rock, AR 72223-0043
Phone
(501) 258-0050
NPI assigned
May 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2007091 AR
Marriage & Family Therapist 106H00000X F2007007 AR
Marriage & Family Therapist 106H00000X M24110001 AR
Mental Health Counselor 101YM0800X P24110001 AR Primary

Addresses

Primary practice location

5507 Ranch Dr Ste 202
Little Rock, AR 72223-0043

Mailing address

5507 Ranch Dr Ste 202
Little Rock, AR 72223-0043
Phone (501) 258-0050

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
I20250109003614 AR Practitioner - Mental Health Counselor 3971031568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2007091ARMDMental Health Counselor
P24110001ARMDMental Health Counselor
F2007007ARMDMarriage & Family Therapist
M24110001ARMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Integrative Counseling LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

5507 Ranch Dr
Ste 202
Little Rock, AR 72223
Phone (501) 258-0050

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1194574756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 RANCH DR STE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230043",
            "telephone_number": "501-258-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 RANCH DR STE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230043",
            "telephone_number": "501-258-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDRICK",
        "first_name": "BETSY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2007091",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "F2007007",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M24110001",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P24110001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.