Active NPI
Stacey Simpson, LPTA, LAC
- Mental Health Counselor
- Fort Smith, AR
National Provider Identifier
1376257683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2310016
- Practice address
- 3111 S 70TH St
Fort Smith, AR 72903-5017 - Phone
- (479) 452-5560
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTA1637 | AR | |
| Mental Health Counselor | 101YM0800X | A2310016 | AR | Primary |
Addresses
Primary practice location
3111 S 70TH St
Fort Smith, AR 72903-5017
Mailing address
5318 Highland Dr
Fort Smith, AR 72903-2354
Phone (479) 561-7845
Other practice location 1
5318 Highland Dr
Fort Smith, AR 72903-2354
Phone (479) 561-7845
Other names 1
- Stacey Antell
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SimpsonS@jbu.edu | Direct | Healing Weighs |
| Direct Messaging Address | Simpson@jbu.edu | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A2310016 | AR | MD | Mental Health Counselor |
| PTA1637 | AR | MD | Physical Therapist |
Interoperability endpoints
- simpson@jbu.edu
- simpsons@jbu.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1376257683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5318 HIGHLAND DR",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729032354",
"telephone_number": "479-561-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 S 70TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035017",
"telephone_number": "479-452-5560"
}
],
"practiceLocations": [
{
"address_1": "5318 Highland Dr",
"address_purpose": "LOCATION",
"city": "Fort Smith",
"state": "AR",
"postal_code": "729032354",
"country_code": "US",
"telephone_number": "479-561-7845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPSON",
"first_name": "STACEY",
"credential": "LPTA, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PTA1637",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2310016",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SimpsonS@jbu.edu",
"affiliation": "Y",
"endpointDescription": "physical therapy services",
"affiliationName": "Healing Weighs",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "rehabilitation services",
"address_1": "5318 Highland Dr",
"city": "Fort Smith",
"state": "AR",
"country_code": "US",
"postal_code": "729032354",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Simpson@jbu.edu",
"affiliation": "N",
"endpointDescription": "Professional secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "professional email",
"address_1": "5318 Highland Dr",
"city": "Fort Smith",
"state": "AR",
"country_code": "US",
"postal_code": "729032354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STACEY",
"last_name": "ANTELL",
"credential": "LPTA",
"code": "1",
"type": "Former Name"
}
]
}
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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.