Real Moments Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

REAL MOMENTS INC

Practice address

211 E 4TH St
Russellville, AR 72801-5133

Phone

(479) 857-0655

NPI assigned

Jul 10, 2025

Organization subpart

No

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

Authorized official

Name

Amy Smith, LPCNPI 1336921105

Title

President

Phone

(479) 857-0655

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Smith, LAC

  • Professional Counselor
  • Russellville, AR
  • NPI 1336921105
  NPD Authorized official

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1316838287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RIDGE ROCK DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022226",
            "telephone_number": "479-857-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 4TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015133",
            "telephone_number": "479-857-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL MOMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-857-0655",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shuja Rasool, M.D
• Justin Ratliff
• Angela Kaye Rayburn
• Annie Raymond
• Real Development Corporation (RPI Behavioral Health)
• Cross Delaina Reames
• Alan N Reams, RPH
• Recovery Health Systems
• Recovery Health Systems
• Recovery Zone Pediatric Therapy, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Russellville, AR
• Providers in Russellville, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.