Individual provider Active NPI

Tanesha Eabron, LPC

  • Professional Counselor
  • Conway, AR
National Provider Identifier
1457851883
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2006024 Issued in AR
Practice address
1055 Sunflower Dr Ste 104
Conway, AR 72034-3651
Phone
(501) 431-0075
Fax
(888) 977-2956
NPI assigned
Feb 12, 2018
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 P2006024 AR Primary

Addresses

Primary practice location

1055 Sunflower Dr Ste 104
Conway, AR 72034-3651

Mailing address

1707 Linwood Dr Ste B
Paragould, AR 72450-5365
Phone (870) 604-4455

Other practice location 1

2003 SE Walton Blvd
Bentonville, AR 72712-3725
Phone (479) 725-6000

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
I20231211001005 AR Practitioner - Mental Health Counselor 0840649208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2006024ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arisa Health, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Nextstep Counseling Services, LLC CurrentSince Jan 5, 2026 Accepting new patients

Locations

1055 Sunflower Dr
Ste 104
Conway, AR 72034
Phone (501) 431-0075

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669

501 S 40th St
Ste 101
Rogers, AR 72758
Phone (479) 202-8040

3302 E Moore Ave
Ofc 5
Searcy, AR 72143

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1457851883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505365",
            "telephone_number": "870-604-4455",
            "fax_number": "888-977-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SUNFLOWER DR STE 104",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343651",
            "telephone_number": "501-431-0075",
            "fax_number": "888-977-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 SE Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727123725",
            "country_code": "US",
            "telephone_number": "479-725-6000",
            "fax_number": "479-750-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EABRON",
        "first_name": "TANESHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2006024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.