Individual provider Active NPI

Ginger Blacksmith, LPC

  • Professional Counselor
  • Greenbrier, AR
National Provider Identifier
1407213135
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1701223 Issued in AR
Practice address
109 N Broadview St
Greenbrier, AR 72058-9333
Phone
(501) 581-7703
Fax
(501) 204-6004
NPI assigned
Jan 26, 2016
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X P1701223 AR Primary

Addresses

Primary practice location

109 N Broadview St
Greenbrier, AR 72058-9333

Mailing address

109 N Broadview St
Greenbrier, AR 72058-9333
Phone (501) 581-7703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118001059 AR Practitioner - Mental Health Counselor 6103253141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 N Broadview St
Greenbrier, AR 72058-9333
Phone (501) 581-7703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1701223ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling Centers PLLC Single Specialty CurrentSince Jan 1, 2020 Accepting new patients

Locations

109 N Broadview St
Greenbrier, AR 72058
Phone (501) 581-7703

19 Business Park Dr
Ste 5
Greenbrier, AR 72058
Phone (501) 581-7703

Organizations & group practices 1

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1407213135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N BROADVIEW ST",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589333",
            "telephone_number": "501-581-7703",
            "fax_number": "501-204-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N BROADVIEW ST",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589333",
            "telephone_number": "501-581-7703",
            "fax_number": "501-204-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSMITH",
        "first_name": "GINGER",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1701223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrier, AR

Sources for this page

Verify at the official NPI Registry.