Individual provider Active NPI

Angela Stevenson-Carr, LPC

  • Mental Health Counselor
  • Hot Springs, AR
National Provider Identifier
1598039075
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1606063 Issued in AR
Practice address
125 Wellness Way
Hot Springs, AR 71913-6478
Phone
(501) 624-7111
Fax
(501) 603-0324
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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 P1606063 AR Primary

Addresses

Primary practice location

125 Wellness Way
Hot Springs, AR 71913-6478

Mailing address

125 Wellness Way
Hot Springs, AR 71913-6478
Phone (501) 624-7111

Other practice location 1

1615 Martin Luther King Blvd
Malvern, AR 72104-2233
Phone (501) 332-5236

Other identifiers 1

IdentifierTypeStateIssuer
230677719MedicaidAR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240214002229 AR Practitioner - Mental Health Counselor 9335597137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

125 Wellness Way
Hot Springs, AR 71913-6478
Phone (501) 624-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1606063ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Regional Counseling & Mental Health Center, Inc. Current Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. CurrentSince Jan 9, 2024 Accepting new patients
Ouachita Regional Counseling and Mental Health Center, Inc. CurrentSince Jan 9, 2024 Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. Past Accepting new patients

Locations

125 Wellness Way
Hot Springs National Park, AR 71913
Phone (501) 620-5231

1615 Martin Luther King Blvd
Malvern, AR 72104
Phone (501) 332-5236

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1598039075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WELLNESS WAY",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136478",
            "telephone_number": "501-624-7111",
            "fax_number": "501-603-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WELLNESS WAY",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136478",
            "telephone_number": "501-624-7111",
            "fax_number": "501-603-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042233",
            "country_code": "US",
            "telephone_number": "501-332-5236",
            "fax_number": "501-603-0324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON-CARR",
        "first_name": "ANGELA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1606063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230677719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.