Mandy Tigert, LPC
Individual provider Active NPI Professional Counselor · Russellville, AR
NPI 1215079546 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1215079546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P1503014 (AR)
- Practice address
- 618 S Knoxville Ave
Russellville, AR 72801-6419 - Phone
- (479) 346-8340
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241030003338 | AR | Practitioner - Mental Health Counselor | 0941733828 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1503014 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor House Incorporated of Fort Smith Arkansas | Current |
Accepting new patients | |
| Perspectives Behavioral Health Management, LLC | Past | Accepting new patients | |
| Perspectives Behavioral Health Management, LLC | Counselor | Past | Accepting new patients |
Locations
130 N College Ave
Ste G
Fayetteville, AR 72701
620 S 21st St
Fort Smith, AR 72901
Phone (479) 395-1599
3811 Rogers Ave
Fort Smith, AR 72903
Phone (479) 395-1599
1200 W Walnut St
Rogers, AR 72756
Phone (479) 631-9996
702 E 4th St
Russellville, AR 72801
Phone (479) 518-6028
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1503014 | AR | Yes |
Addresses
Primary practice location
618 S Knoxville Ave
Russellville, AR 72801-6419
Mailing address
515 S 4TH St
Dardanelle, AR 72834-4201
Phone (501) 339-6625
Other practice location 1
515 S 4th St
Dardanelle, AR 72834-4201
Phone (501) 339-6625
Other providers in Russellville, AR
- Baillie Thompson
- Felix Thompson
- Taylor Thompson
- Thrive Pediatric Therapy
- Tristan Nathaniel Tiarks
- Dawn Renee Timmons
- Ryan Timmons
- Gabriel Tinerella
- Sara Tingle
- Libby Tipton
All providers in Russellville, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.