Active NPI
Heather Roberts, MS, LAC
- Professional Counselor
- Bismarck, AR
National Provider Identifier
1265648331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A0003011
- Practice address
- 3399 Finch Road
Bismarck, AR 71929 - Phone
- (501) 865-3363
- Fax
- (501) 865-3362
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A0003011 | AR | Primary |
Addresses
Primary practice location
3399 Finch Road
Bismarck, AR 71929
Mailing address
9785 Highway 84
Bismarck, AR 71929-7416
Phone (501) 865-3351
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0003011 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265648331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9785 HIGHWAY 84",
"city": "BISMARCK",
"state": "AR",
"postal_code": "719297416",
"telephone_number": "501-865-3351",
"fax_number": "501-865-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3399 FINCH ROAD",
"city": "BISMARCK",
"state": "AR",
"postal_code": "71929",
"telephone_number": "501-865-3363",
"fax_number": "501-865-3362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "HEATHER",
"credential": "MS, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "A0003011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.