Marcia Beth Haizlip, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P9307017 Issued in AR

Practice address

1355 Tate Ave
Mammoth Spring, AR 72554-8064

Phone

(870) 625-0273

Fax

(870) 625-0275

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transforming Lives Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mammoth Spring, AR
  • NPI 1477079325
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1346958782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1134",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725541134",
            "telephone_number": "870-625-0273",
            "fax_number": "870-625-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 TATE AVE",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725548064",
            "telephone_number": "870-625-0273",
            "fax_number": "870-625-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIZLIP",
        "first_name": "MARCIA",
        "middle_name": "BETH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P9307017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Care, LLC
• Charlotte Ann Featherston, LPC
• Gregory Ross Fuller, RPH
• Allie Rose Gardner
• Douglas Brent Garrison, DC
• Anita B Humphreys, MSP,CCC, SLP
• Sarah Juhl Halsrud
• Michael Dean Kersey, DDS
• Jeffrey Dean Lawson, MSW, LCSW
• Jill Lawson, QBHP

• Mental Health Counselor in Mammoth Spring, AR
• Providers in Mammoth Spring, 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 Nov 14, 2022; 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.