Individual provider Active NPI

Bernadette Fae Stanford

  • Professional Counselor
  • Heber Springs, AR
National Provider Identifier
1427375484
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1412107 Issued in AR
Practice address
301 W Searcy St
Heber Springs, AR 72543-3840
Phone
(501) 270-9503
Fax
(501) 235-3866
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1412107 AR Primary

Addresses

Primary practice location

301 W Searcy St
Heber Springs, AR 72543-3840

Mailing address

301 W Searcy St
Heber Springs, AR 72543-3840
Phone (501) 270-9503

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
I20260427003553 AR Practitioner - Mental Health Counselor 1850719808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heber Springs Counseling PLLCGroup PAC ID 0244658284, 6 clinicians

Practice addresses (Care Compare)

301 W Searcy St
Heber Springs, AR 72543-3840
Phone (501) 270-9503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1412107ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heber Springs Counseling, PLLC Current Accepting new patients

Locations

104 N 3rd St
Heber Springs, AR 72543
Phone (501) 270-9503

301 W Searcy St
Heber Springs, AR 72543
Phone (501) 270-9503

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1427375484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W SEARCY ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433840",
            "telephone_number": "501-270-9503",
            "fax_number": "501-235-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W SEARCY ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433840",
            "telephone_number": "501-270-9503",
            "fax_number": "501-235-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "BERNADETTE",
        "middle_name": "FAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1412107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

Verify at the official NPI Registry.