Alisa Danae Mitchell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2007034 Issued in AR

Practice address

2940 W Sunset Ave Ste D
Springdale, AR 72762-4974

Phone

(501) 205-4570

NPI assigned

Nov 25, 2013

Last updated

Apr 21, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southland Elite Counseling LLC

  • Adult Mental Health Clinic/Center
  • Springdale, AR
  • NPI 1245084623
  NPD Authorized official
• Central Arkansas Group Counseling, PLLC

  dba Arkansas Counseling and Wellness Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bentonville, AR
  • NPI 1356867303
  NPD (past)
• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  NPD (past)

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1568892727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24189 FALLING SPRINGS RD",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727349006",
            "telephone_number": "903-701-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 W SUNSET AVE STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624974",
            "telephone_number": "501-205-4570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Isaacs Orchard Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727626799",
            "country_code": "US",
            "telephone_number": "479-259-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALISA",
        "middle_name": "DANAE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022013920",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2007034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Milton
• Mindful Mental Health PLLC
• Patton Mark Minkin, DDS
• Nelson Mishler
• Mission First Medical Transport
• Ava Rose Mitchell
• Abby Mix, LCSW
• Mobile Dysphagia Imaging, LLC
• Seth Mobley, DO
• Addison Nicole Moeller

• Professional Counselor in Springdale, AR
• Providers in Springdale, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; 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.