Active NPI
Toma Renea Lee, LPE-I
- Counselor
- Lake Village, AR
National Provider Identifier
1457520538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9121E
- Practice address
- 316 Main Street
Lake Village, AR 71653 - Phone
- (870) 265-4477
- Fax
- (870) 265-4488
- NPI assigned
- Feb 22, 2008
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9121E | AR | Primary |
Addresses
Primary practice location
316 Main Street
Lake Village, AR 71653
Mailing address
316 Main Street
Lake Village, AR 71653
Phone (870) 265-4477
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9121E | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1457520538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 MAIN STREET",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "71653",
"telephone_number": "870-265-4477",
"fax_number": "870-265-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 MAIN STREET",
"city": "LAKE VILLAGE",
"state": "AR",
"postal_code": "71653",
"telephone_number": "870-265-4477",
"fax_number": "870-265-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "TOMA",
"middle_name": "RENEA",
"credential": "LPE-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "9121E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.