Active NPI
Raleigh Jo Smith
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1255072625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2509018
- Practice address
- 74 W Sunbridge Dr
Fayetteville, AR 72703-1822 - Phone
- (479) 582-5565
- NPI assigned
- Apr 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2509018 | AR | Primary |
| Mental Health Counselor | 101YM0800X | A2107013 | AR |
Addresses
Primary practice location
74 W Sunbridge Dr
Fayetteville, AR 72703-1822
Mailing address
1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676
Phone (501) 906-4237
Other practice location 1
1416 N College Ave
Fayetteville, AR 72703-1914
Phone (501) 646-1812
Other practice location 2
201 E School St
Lincoln, AR 72744-8885
Phone (479) 582-5565
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2107013 | AR | MD | Mental Health Counselor |
| P2509018 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients |
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Fayetteville, AR
- NPI 1417111048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1255072625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 ALDERSGATE RD STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056676",
"telephone_number": "501-906-4237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 W SUNBRIDGE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031822",
"telephone_number": "479-582-5565"
}
],
"practiceLocations": [
{
"address_1": "1416 N College Ave",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727031914",
"country_code": "US",
"telephone_number": "501-646-1812",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E School St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "AR",
"postal_code": "727448885",
"country_code": "US",
"telephone_number": "479-582-5565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "RALEIGH",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2509018",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2107013",
"primary": false
}
],
"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 Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.