NPIMap

Individual provider Active NPI

Caren Gatlin, LPC

  • Counselor
  • Fort Smith, AR
National Provider Identifier
1487987822
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
P1303028 Issued in AR
Practice address
1340 S Waldron Rd
Fort Smith, AR 72903-2556
Phone
(479) 452-5040
Fax
(479) 452-5047
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 169185 KY
Professional Counselor 101YP2500X P1303028 AR
Counselor 101Y00000X P1303028 AR Primary

Addresses

Primary practice location

1340 S Waldron Rd
Fort Smith, AR 72903-2556

Mailing address

PO Box 23070
Barling, AR 72923-0070
Phone (479) 452-5040

Other practice location 1

100 W Oak St
Nicholasville, KY 40356-1244
Phone (859) 382-0132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P1303028ARMDCounselor
169185KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Behavioral Health Management, LLC Counselor PastSince Feb 1, 2012 Accepting new patients
Perspectives Behavioral Health Management, LLC Past Accepting new patients
Restoration Christian Counseling Professional Past Accepting new patients

Organizations & group practices 3

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487987822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23070",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729230070",
            "telephone_number": "479-452-5040",
            "fax_number": "479-452-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032556",
            "telephone_number": "479-452-5040",
            "fax_number": "479-452-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403561244",
            "country_code": "US",
            "telephone_number": "859-382-0132",
            "fax_number": "859-881-1499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "CAREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "169185",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1303028",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P1303028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.