Teresa A Collett, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1303024 Issued in AR

Practice address

2711 E Walnut St
Paris, AR 72855-4225

Phone

(870) 631-1553

NPI assigned

May 8, 2007

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Simple Soul Counseling Services, LLCGroup PAC ID 6305205329, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Simple Soul Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrison, AR
  • NPI 1164144812
  Medicare reassignment Care Compare group NPD
• Willow Springs Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Dardanelle, AR
  • NPI 1275175275
  Medicare reassignment NPD

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1437362803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E WALNUT ST",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "728554225",
            "telephone_number": "870-631-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E WALNUT ST",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "728554225",
            "telephone_number": "870-631-1553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N Front St",
            "address_purpose": "LOCATION",
            "city": "Dardanelle",
            "state": "AR",
            "postal_code": "728343821",
            "country_code": "US",
            "telephone_number": "479-477-3058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 W Newman Ave",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726015839",
            "country_code": "US",
            "telephone_number": "870-204-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLETT",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1303024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas A Buckley, MD
• Lisa Margo Bynum
• Chung Eye Care, PA (Arkansas Family Eye Care)
• Anh Q Chung, OD
• Kathleen H Chung, OD
• Tabitha Cook, MHPP
• Cooper Clinic P a
• Cooper Clinic PA
• Cooper Clinic, PA
• County of Logan (Logan County Emergency Medical Services)

• Mental Health Counselor in Paris, AR
• Providers in Paris, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.

Verify at the official NPI Registry.