Individual provider Active NPI

Neile Stevens, LAC

  • Mental Health Counselor
  • Batesville, AR
National Provider Identifier
1568644169
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1803020 Issued in AR
Practice address
2199 Harrison St
Batesville, AR 72501-7416
Phone
(870) 793-6774
Fax
(870) 793-1997
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 A1803020 AR Primary

Addresses

Primary practice location

2199 Harrison St
Batesville, AR 72501-7416

Mailing address

2199 Harrison St
Batesville, AR 72501-7416
Phone (870) 793-6774

Other identifiers 1

IdentifierTypeStateIssuer
232855795MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1803020ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Pinnacle Pointe Hospital, Inc. CurrentSince Oct 10, 2021 Accepting new patients
BHC Pinnacle Pointe Hospital LLC PastSince Jan 26, 2020 Accepting new patients
Conway County Community Service Inc. Past Accepting new patients
Conway County Community Service Inc. PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 4

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1568644169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017416",
            "telephone_number": "870-793-6774",
            "fax_number": "870-793-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017416",
            "telephone_number": "870-793-6774",
            "fax_number": "870-793-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "NEILE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1803020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232855795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.