Individual provider Active NPI

Freetta Nelson Hemphill, LCSW

  • Professional Counselor
  • North Little Rock, AR
National Provider Identifier
1225217557
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1039-C Issued in AR
Practice address
425 W Broadway St
Suite C
North Little Rock, AR 72114-5521
Phone
(501) 658-6803
Fax
(501) 374-1458
NPI assigned
Nov 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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 1039-C AR Primary

Addresses

Primary practice location

425 W Broadway St
Suite C
North Little Rock, AR 72114-5521

Mailing address

425 W Broadway St
Suite C
North Little Rock, AR 72114-5521
Phone (501) 658-6803

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1039-CARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Place of Lonoke,Inc Dba Freetta Nelson Hemphill, Lcswhill Current Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients
Professional Counseling Associates Inc. PastSince Jan 1, 2024 Accepting new patients
Senior Resolution Resources, Inc Past Accepting new patients
We Psychiatric Services PLLC PastSince Jun 1, 1990 Accepting new patients

Organizations & group practices 5

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1225217557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BROADWAY ST",
            "address_2": "SUITE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145521",
            "telephone_number": "501-658-6803",
            "fax_number": "501-374-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BROADWAY ST",
            "address_2": "SUITE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145521",
            "telephone_number": "501-658-6803",
            "fax_number": "501-374-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMPHILL",
        "first_name": "FREETTA",
        "middle_name": "NELSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "1039-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.