Individual provider Active NPI

Robbie Robinson, LPC

  • Professional Counselor
  • Blytheville, AR
National Provider Identifier
1619911815
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0503012 Issued in AR
Practice address
209 S Lockard St
Blytheville, AR 72315-2541
Phone
(870) 763-2139
Fax
(870) 763-5056
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X P0503012 AR Primary

Addresses

Primary practice location

209 S Lockard St
Blytheville, AR 72315-2541

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 886-7924

Other practice location 1

2707 Brown's Lane
Jonesboro, AR 72401
Phone (870) 886-7924 ext. 234

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
I20240314001324 AR Practitioner - Mental Health Counselor 9537505342 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
Arisa Health IncGroup PAC ID 2264853829, 65 clinicians

Practice addresses (Care Compare)

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P0503012ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arisa Health, Inc. Mental Health CurrentSince Jan 31, 2024 Accepting new patients
Arisa Health, Inc. CurrentSince Jan 31, 2024 Accepting new patients

Locations

209 S Lockard St
Blytheville, AR 72315
Phone (870) 763-2139

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

3302 E Moore Ave
Ofc 5
Searcy, AR 72143

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

Organizations & group practices 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619911815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-886-7924",
            "fax_number": "870-886-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S LOCKARD ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152541",
            "telephone_number": "870-763-2139",
            "fax_number": "870-763-5056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Brown's Lane",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "72401",
            "country_code": "US",
            "telephone_number": "870-886-7924 x234",
            "fax_number": "870-886-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ROBBIE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-03-17",
        "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": "AR",
            "license": "P0503012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.