Active NPI
Ashley D Harris, LCSW
- Social Worker
- Fayetteville, AR
National Provider Identifier
1245435544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4253 N Crossover Rd
Fayetteville, AR 72703-4593 - Phone
- (479) 443-6496
- Fax
- (479) 443-2519
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4253 N Crossover Rd
Fayetteville, AR 72703-4593
Mailing address
4171 N Crossover Rd
Fayetteville, AR 72703-4057
Phone (479) 443-6496
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| Texarkana Behavioral Associates, L.C. | Current | Accepting new patients | |
| PT Concepts, PLLC | Current | Accepting new patients | |
| My Therapy LLC | Past | Accepting new patients |
Locations
815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740
4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496
1200 W Walnut St
Ste 3101
Rogers, AR 72756
Phone (479) 621-0301
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Rogers, AR
- NPI 1164931291
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Barling, AR
- NPI 1467483677
-
- Psychiatric Hospital
- Fayetteville, AR
- NPI 1639137565
-
- Mental Health Counselor
- Rogers, AR
- NPI 1598633091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1245435544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 N CROSSOVER RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034057",
"telephone_number": "479-443-6496",
"fax_number": "479-443-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4253 N CROSSOVER RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034593",
"telephone_number": "479-443-6496",
"fax_number": "479-443-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ASHLEY",
"middle_name": "D",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.