Individual provider Active NPI

Kaitlyn A Hale-Osment

  • Professional Counselor
  • Conway, AR
National Provider Identifier
1356934723
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2305007 Issued in AR
Practice address
1125 Oak St Ste 308
Conway, AR 72032-4359
Phone
(501) 313-3902
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 P2305007 AR Primary

Addresses

Primary practice location

1125 Oak St Ste 308
Conway, AR 72032-4359

Mailing address

3085 Dave Ward Dr Apt 316
Conway, AR 72034-9414
Phone (501) 313-3902

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
P2305007ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Wealthy Soul, PLLC Mental Health CurrentSince Sep 23, 2024 Accepting new patients
Align Counseling & Wellness Mental Health PastSince May 1, 2023 Accepting new patients

Locations

1125 Oak St
Ste 308
Conway, AR 72032
Phone (501) 313-3902

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1356934723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 DAVE WARD DR APT 316",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349414",
            "telephone_number": "501-313-3902",
            "fax_number": "501-313-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 OAK ST STE 308",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324359",
            "telephone_number": "501-313-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE-OSMENT",
        "first_name": "KAITLYN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2305007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.