Traci Barrios, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2202006 Issued in AR

Practice address

2705 Oak LN
Van Buren, AR 72956-4816

Phone

(479) 471-5950

Fax

(479) 471-5997

NPI assigned

Mar 2, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 23, 2024 through Aug 23, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1306593199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3062 N VERONA LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046647",
            "telephone_number": "918-471-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 OAK LN",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564816",
            "telephone_number": "479-471-5950",
            "fax_number": "479-471-5997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 E Mountain St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727016067",
            "country_code": "US",
            "telephone_number": "918-471-2370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3062 N Verona Ln",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727046647",
            "country_code": "US",
            "telephone_number": "918-471-3270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRIOS",
        "first_name": "TRACI",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2202006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacee Mae Banning, APRN
• Baptist Health Regional Hospitals (Baptist Health - Van Buren)
• Julie Barker
• Barlow Pharmacies Inc (Pharmacy Express)
• Kelly Kay Barlow, PHARM.D
• Emily Anne Barton, CRNA
• Kimberly Baskette
• Christina Marie Bastible
• BB Chiropractic Inc
• Stacey Nicole Bearden, COTA/L

• Mental Health Counselor in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.