Individual provider Active NPI

Alberta D Hill, MS, QMHP C,A

  • Mental Health Counselor
  • Fort Smith, AR
National Provider Identifier
1609523505
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0732001714 Issued in VA
Practice address
821 N 10TH St
Fort Smith, AR 72901-1505
Phone
(615) 347-3115
NPI assigned
Mar 10, 2022
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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 0733001538 VA
Mental Health Counselor 101YM0800X 0732001714 VA Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

821 N 10TH St
Fort Smith, AR 72901-1505

Mailing address

4288 Cartegena Way
Las Vegas, NV 89121-6504
Phone (615) 390-1764

Other practice location 1

4288 Cartegena Way
Las Vegas, NV 89121-6504
Phone (615) 347-3115

Other practice location 2

2714 Grand Ave
Fort Smith, AR 72901-3106
Phone (615) 347-3115

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0732001714VAMDMental Health Counselor
0733001538VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Actss a Common Thread Supportive Services Mental Health CurrentSince Mar 13, 2022 Accepting new patients

Locations

2714 Grand Ave
Fort Smith, AR 72901
Phone (615) 347-3115

821 N 10th St
Fort Smith, AR 72901
Phone (479) 763-1305

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1609523505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4288 CARTEGENA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216504",
            "telephone_number": "615-390-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N 10TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729011505",
            "telephone_number": "615-347-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4288 Cartegena Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891216504",
            "country_code": "US",
            "telephone_number": "615-347-3115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2714 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729013106",
            "country_code": "US",
            "telephone_number": "615-347-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "ALBERTA",
        "middle_name": "D",
        "credential": "MS, QMHP C,A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0733001538",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0732001714",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.