Kathy Thye Dewbre

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1807095 Issued in AR

Practice address

12320 I-30 Frontage Road
Little Rock, AR 72210

Phone

(501) 455-8554

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Baptist Children'S Homes and Family Ministries 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arkansas Baptist Children'S Homes and Family Ministries

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1972159267

  AR, Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1558038240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 ARLINGTON DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167508",
            "telephone_number": "501-353-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 I-30 FRONTAGE ROAD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72210",
            "telephone_number": "501-455-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWBRE",
        "first_name": "KATHY",
        "middle_name": "THYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1807095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanchan Devkota, M.B.B.S.
• Devin Annette Devlin, MNSC, APRN, PMHNP-BC
• Michael Andrew Devlin, M.D.
• Kendi Hall Devore, APN
• Benjamin T Dewbre, MHPP
• Valerie Ann Dewese, LMSW
• Dalton Colt Dewey, PA-C
• Jeffery Dewitt, MHPP
• Taylor Mardis Dewoody, M.A., B.C.B.A, L.B.A
• Tanushree Dey

• All providers in Little Rock, AR
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.