Active NPI
Heather Gail Zelaya, LCSW
- Clinical Social Worker
- Rogers, AR
National Provider Identifier
1417146986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6737-C
- Practice address
- 301 S 24TH St
Rogers, AR 72758-1116 - Phone
- (479) 636-5545
- NPI assigned
- Oct 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6737-C | AR | Primary |
Addresses
Primary practice location
301 S 24TH St
Rogers, AR 72758-1116
Mailing address
2900 SW 13TH St
Lees Summit, MO 64081-3800
Phone (816) 516-7114
Other names 1
- Heather Gail Smith
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
214 E Adobe St
Fayetteville, AR 72703-3342
Phone (479) 310-6886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6737-C | AR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather Zelaya Therapy PLLC | Current | Accepting new patients |
Locations
2894 N McKee Cir
Ste 122
Fayetteville, AR 72703
Phone (479) 310-6886
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fayetteville, AR
- NPI 1659077675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1417146986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SW 13TH ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813800",
"telephone_number": "816-516-7114",
"fax_number": "816-761-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S 24TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581116",
"telephone_number": "479-636-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELAYA",
"first_name": "HEATHER",
"middle_name": "GAIL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "6737-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "SMITH",
"middle_name": "GAIL",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.