Individual provider Active NPI

Katelyn P Nabors, LPC

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1356712616
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1912148 Issued in AR
Practice address
6901 Dallas St Ste a
Fort Smith, AR 72903-5037
Phone
(479) 210-2146
NPI assigned
Oct 13, 2015
Last updated
Nov 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1912148 AR Primary

Addresses

Primary practice location

6901 Dallas St Ste a
Fort Smith, AR 72903-5037

Mailing address

1906 N 29TH St
Van Buren, AR 72956-2418
Phone (479) 650-9970

Other practice location 1

5111 Rogers Ave Ste 561
Fort Smith, AR 72903-2047
Phone (479) 595-0333

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

LicenseStateTypeSpecialty
P1912148ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Counseling, PLLC Mental Health CurrentSince Nov 20, 2022 Accepting new patients
Chenal Family Therapy, PLC Mental Health PastSince Jan 1, 2024 Accepting new patients

Locations

3017 S 70th St
Ste G
Fort Smith, AR 72903
Phone (479) 210-2146

6901 Dallas St
Ste A
Fort Smith, AR 72903
Phone (479) 210-2146

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668902400000",
    "number": "1356712616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 N 29TH ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562418",
            "telephone_number": "479-650-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 DALLAS ST STE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035037",
            "telephone_number": "479-210-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 Rogers Ave Ste 561",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729032047",
            "country_code": "US",
            "telephone_number": "479-595-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NABORS",
        "first_name": "KATELYN",
        "middle_name": "P",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1912148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.