Stacy Wihebrink, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1601008 Issued in AR

Practice address

3358 S 2ND St Ste D
Cabot, AR 72023-7876

Phone

(501) 286-6053

Fax

(501) 286-6090

NPI assigned

Mar 5, 2012

Last updated

Aug 17, 2020By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1346514668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 FOREST HOME RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015320",
            "telephone_number": "866-972-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3358 S 2ND ST STE D",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237876",
            "telephone_number": "501-286-6053",
            "fax_number": "501-286-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIHEBRINK",
        "first_name": "STACY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1601008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232047719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn White, M.S. CCC-SLP
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• Jessica S Whittenburg
• Thomas Whittenburg
• Zanetta Faye Wilburd, RN
• Maggie Wilcox
• Elizabeth Claire Wilkerson, PHARM. D
• Jane Ball Willard, MSP, CCC-SLP
• Janette Williams-Smith, LCSW

• Professional Counselor in Cabot, AR
• Providers in Cabot, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.