Haley Kizziar, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2305006 Issued in AR

Practice address

201 S Rose St
Sheridan, AR 72150-2451

Phone

(870) 917-2171

Fax

(870) 917-2161

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Haley Kratz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BHC Pinnacle Pointe Hospital

  • Adolescent and Children Mental Health Clinic/Center
  • Sheridan, AR
  • NPI 1154594380
  NPD (past)
• BHC Pinnacle Pointe Hospital LLC

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1265834733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ROSE ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502451",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ROSE ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502451",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZZIAR",
        "first_name": "HALEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2305006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "KRATZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adrianna Jones, QBHP
• Hope Quarles Jones, M.S. CCC-SLP
• Kamillah Karriem, QBHP
• Santrice Kearney, MHPP
• Keystone Therapy
• Mollye Jenay Koonce, APRN, FNP-C
• Stephanie Korwes, QBHP
• Garrett Wade Krisell, APRN, FNP-C
• Natasha Leach, LMSW
• Margo Lee, LMSW

• All providers in Sheridan, AR
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.