Kathryn Elise Short, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3805 McCain Park Dr Ste 112
North Little Rock, AR 72116

Phone

(501) 350-9621

NPI assigned

Aug 22, 2010

Last updated

Jun 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/

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.

• 501 Counseling, PLLC

  • Mental Health Counselor
  • North Little Rock, AR
  • NPI 1720570542
  NPD (past) Authorized official
• Living Hope Southeast, LLC

  • Mental Health Counselor
  • Monticello, AR
  • NPI 1689877862
  NPD (past)

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1568778017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR STE 112",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167813",
            "telephone_number": "501-350-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR STE 112",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-350-9621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10025 West Markham St",
            "address_2": "Ste. 210",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-663-5473 x443",
            "fax_number": "501-801-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "KATHRYN",
        "middle_name": "ELISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-22",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Shinn
• Paige Marie Shipman
• Robert Shirey, RPH
• Alanna Shittu, PHARMD
• Jennifer Victoria Shook, APN
• Linda Shrader
• Monish Shukla, MD
• Shelley Shultz, OTR
• Corey Ryan Shumate, PT, DPT
• Megan June Shupe, PT, DPT

• Mental Health Counselor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.