Individual provider Active NPI

Katherleen Sallee, LPC

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1225494925
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1802009 Issued in AR
Practice address
7217 Cameron Park Dr
Fort Smith, AR 72903-6167
Phone
(479) 831-6007
Fax
(479) 782-1242
NPI assigned
Jan 11, 2016
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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 P1802009 AR Primary

Addresses

Primary practice location

7217 Cameron Park Dr
Fort Smith, AR 72903-6167

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650

Other practice location 1

3111 S 70th St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

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
I20240207000350 AR Practitioner - Mental Health Counselor 6608229281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6234 Massard Rd
Suite 103
Fort Smith, AR 72916-6153
Phone (479) 222-8689

6234 Massard Rd
Suite 103
Fort Smith, AR 72916-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1802009ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sallee Mental Health Services and Consulting CurrentSince Jan 18, 2024 Accepting new patients

Locations

6234 Massard Rd
Ste 103
Fort Smith, AR 72916
Phone (479) 222-8689

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1225494925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11818",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171818",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 CAMERON PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036167",
            "telephone_number": "479-831-6007",
            "fax_number": "479-782-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "KATHERLEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1802009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.