Individual provider Active NPI

Kristy Burton, LPC

  • Professional Counselor
  • Springdale, AR
National Provider Identifier
1578971479
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1707327 Issued in AR
Practice address
2940 W Sunset Ave Ste D
Springdale, AR 72762-4974
Phone
(501) 205-4570
Fax
(888) 305-8084
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 2022028840 MO
Professional Counselor 101YP2500X P1707327 AR Primary

Addresses

Primary practice location

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

Mailing address

PO Box 2129
Benton, AR 72018-2129
Phone (501) 205-4570

Other practice location 1

4702 W Commercial Dr
North Little Rock, AR 72116-7068
Phone (501) 205-4570

Other names 1

  • Kristy Huffer Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1707327ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Group Counseling, PLLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

2703 SE G St
Ste 1
Bentonville, AR 72712
Phone (479) 254-1975

4241 N Gabel Dr
Ste 2B
Fayetteville, AR 72703
Phone (479) 234-1365

4702 W Commercial Dr
Ste B3
North Little Rock, AR 72116

2940 W Sunset Ave
Ste D
Springdale, AR 72762
Phone (479) 259-1090

Organizations & group practices 1

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1578971479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720182129",
            "telephone_number": "501-205-4570",
            "fax_number": "888-305-8084"
        },
        {
            "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",
            "fax_number": "888-305-8084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4702 W Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721167068",
            "country_code": "US",
            "telephone_number": "501-205-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KRISTY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2022028840",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1707327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "HUFFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.