Demetra Thompson, LPC – Professional Counselor

Key facts

NPI: 1356930671
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: P2310011 (AR)
Practice address: 513 Main St
North Little Rock, AR 72114-5329
Phone: (501) 777-5969
NPI assigned: Jan 12, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 5

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

Counseling Associates Inc Community/Behavioral Health Agency · Russellville, AR · NPI 1649381120

Medicare reassignment NPD AR
Counseling Associates, Inc Family Medicine Physician · Russellville, AR · NPI 1962169607

NPD
Counseling Associates, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Heber Springs, AR · NPI 1144701848

NPD
McCoy Counseling LLC Counselor · North Little Rock, AR · NPI 1538655006

NPD
Mental Wellness Connection Mental Health Counselor · North Little Rock, AR · NPI 1740089929

NPD MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20231202000671	AR	Practitioner - Mental Health Counselor	5193173045	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
A2012186	AR	MD	Mental Health Counselor
P2310011	AR	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
McCoy Counseling LLC		Current since Jun 9, 2024	Accepting new patients
Counseling Associates, Inc.		Current since Jan 1, 2024	Accepting new patients
Counseling Associates Inc		Current	Accepting new patients
Counseling Associates, Inc		Current since Jan 1, 2024	Accepting new patients
Mental Wellness Connection	Mental Health	Current since Mar 20, 2025	Accepting new patients

Locations

11215 Hermitage Rd
Ste 204
Little Rock, AR 72211
Phone (501) 725-8000

8 Hospital Dr
Morrilton, AR 72110
Phone (501) 354-1561

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	A2012186	AR
Professional Counselor	101YP2500X
Professional Counselor	101YP2500X	P2310011	AR	Yes

Addresses

Primary practice location

513 Main St
North Little Rock, AR 72114-5329

Mailing address

513 Main St
North Little Rock, AR 72114-5329
Phone (501) 777-5969

Other providers in North Little Rock, AR

All providers in North Little Rock, AR · Professional Counselor in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.