Individual provider Active NPI

Mary Elizabeth Farley, LAC

  • Mental Health Counselor
  • Fayetteville, AR
National Provider Identifier
1407599376
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2204005 Issued in AR
Practice address
74 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone
(479) 582-5565
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2204005 AR Primary

Addresses

Primary practice location

74 W Sunbridge Dr
Fayetteville, AR 72703-1822

Mailing address

1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676

Other practice location 1

12921 Cantrell Rd Ste 105
Little Rock, AR 72223-1798
Phone (501) 891-5492

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
A2204005ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics Plus Counseling & Diagnostics LLC CurrentSince Apr 24, 2022 Accepting new patients
United Methodist Behavioral Health System, Inc Past Accepting new patients

Locations

12921 Cantrell Rd
Ste 105
Little Rock, AR 72223
Phone (501) 891-5492

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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1407599376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALDERSGATE RD STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W SUNBRIDGE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031822",
            "telephone_number": "479-582-5565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12921 Cantrell Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722231798",
            "country_code": "US",
            "telephone_number": "501-891-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2204005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.