Active NPI
Alisha Ann Yarberry, LPC
- Mental Health Counselor
- Fayetteville, AR
National Provider Identifier
1306509716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P2109022
- Practice address
- 54 W Sunbridge Dr
Fayetteville, AR 72703-1822 - Phone
- (479) 435-4207
- NPI assigned
- Oct 21, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P2109022 | AR | Primary |
Addresses
Primary practice location
54 W Sunbridge Dr
Fayetteville, AR 72703-1822
Mailing address
PO Box 9541
Fayetteville, AR 72703-0026
Phone (970) 219-6504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | easoncounseling@gmail.com | Eason Counseling and Associates, LLC |
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 |
|---|---|---|---|
| P2109022 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eason Counseling and Associates, LLC | 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.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1306509716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9541",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030026",
"telephone_number": "970-219-6504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 W SUNBRIDGE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031822",
"telephone_number": "479-435-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBERRY",
"first_name": "ALISHA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P2109022",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "easoncounseling@gmail.com",
"affiliation": "Y",
"affiliationName": "Eason Counseling and Associates, LLC",
"address_1": "26 E Meadow St",
"address_2": "Suite #8",
"city": "Fayetteville",
"state": "AR",
"country_code": "US",
"postal_code": "727015320",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.