Individual provider Active NPI

Tina Curtis, LPC

  • Professional Counselor
  • Dardanelle, AR
National Provider Identifier
1538764865
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2210012 Issued in AR
Practice address
11092 Prairie LN
Dardanelle, AR 72834-8533
Phone
(479) 886-3051
NPI assigned
Dec 3, 2020
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2011177 AR
Professional Counselor 101YP2500X P2210012 AR Primary

Addresses

Primary practice location

11092 Prairie LN
Dardanelle, AR 72834-8533

Mailing address

104 Lock and Dam Rd
Russellville, AR 72802-9725
Phone (479) 747-5222

Other practice location 1

104 Lock and Dam Rd
Russellville, AR 72802-9725
Phone (479) 747-5222

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
I20251209000771 AR Practitioner - Mental Health Counselor 5395239370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

104 Lock and Dam Rd
Russellville, AR 72802-9725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2011177ARMDMental Health Counselor
P2210012ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Youth Foundation CurrentSince Sep 12, 2025 Accepting new patients

Locations

104 Lock and Dam Rd
Russellville, AR 72802
Phone (479) 222-0268

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, 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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1538764865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LOCK AND DAM RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029725",
            "telephone_number": "479-747-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11092 PRAIRIE LN",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728348533",
            "telephone_number": "479-886-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Lock and Dam Rd",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728029725",
            "country_code": "US",
            "telephone_number": "479-747-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "TINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2011177",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2210012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardanelle, AR

Sources for this page

Verify at the official NPI Registry.