Individual provider Active NPI

Stacey Simpson, LPTA, LAC

  • Mental Health Counselor
  • Fort Smith, AR
National Provider Identifier
1376257683
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2310016 Issued in AR
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
A2310016ARMDMental Health Counselor
PTA1637ARMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: simpson@jbu.edu
  • Direct secure messaging: 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.

Verify at the official NPI Registry.