Individual provider Active NPI

Jeana Renea Hopper, LPC

  • Mental Health Counselor
  • Fort Smith, AR
National Provider Identifier
1548712052
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1702238 Issued in AR
Practice address
4951 Old Greenwood Rd
Fort Smith, AR 72903-6906
Phone
(479) 709-9880
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1702238 AR Primary

Addresses

Primary practice location

4951 Old Greenwood Rd
Fort Smith, AR 72903-6906

Mailing address

4611 Rogers Ave Ste 200
Fort Smith, AR 72903-3137
Phone (479) 322-9273

Other practice location 1

4951 Old Greenwood Rd
Fort Smith, AR 72903-6906
Phone (479) 709-9880

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
I20250421000029 AR Practitioner - Mental Health Counselor 1052836376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheryl Edwards Preferred Counseling PAGroup PAC ID 7012431455, 4 clinicians

Practice addresses (Care Compare)

4611 Rogers Ave
Suite 200
Fort Smith, AR 72903-3137
Phone (479) 709-9880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Edwards Preferred Counseling, P.a. Mental Health CurrentSince Feb 12, 2025 Accepting new patients
Paul Rust Inc. PastSince Jan 1, 2007 Accepting new patients

Locations

4611 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 322-9273

4951 Old Greenwood Rd
Fort Smith, AR 72903
Phone (479) 484-4665

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1548712052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033137",
            "telephone_number": "479-322-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 OLD GREENWOOD RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036906",
            "telephone_number": "479-709-9880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 Old Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729036906",
            "country_code": "US",
            "telephone_number": "479-709-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "JEANA",
        "middle_name": "RENEA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1702238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.