Individual provider Active NPI

Reagan Funkhouser, LCSW

  • Clinical Social Worker
  • Rogers, AR
National Provider Identifier
1639339534
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1958-C Issued in AR
Practice address
2000 S Promenade Blvd Ste 202
Rogers, AR 72758-8609
Phone
(479) 408-4197
Fax
(888) 977-2956
NPI assigned
Jun 13, 2008
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1958-C AR Primary

Addresses

Primary practice location

2000 S Promenade Blvd Ste 202
Rogers, AR 72758-8609

Mailing address

1707 Linwood Dr Ste B
Paragould, AR 72450-5365
Phone (870) 604-4455

Other identifiers 1

IdentifierTypeStateIssuer
237237719MedicaidAR

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
I20130412000577 AR Practitioner - Clinical Social Worker 6901042118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextstep Counseling Services LLCGroup PAC ID 3577951581, 22 clinicians

Practice addresses (Care Compare)

1707 Linwood Dr
Suite B
Paragould, AR 72450-5365
Phone (870) 604-4455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nextstep Counseling Services, LLC CurrentSince Dec 13, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. Clinical PastSince Dec 21, 2025 Accepting new patients
Life Strategies Counseling, Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669

2000 S Promenade Blvd
Ste 202
Rogers, AR 72758
Phone (479) 282-2737

Organizations & group practices 3

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639339534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE B",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505365",
            "telephone_number": "870-604-4455",
            "fax_number": "888-977-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S PROMENADE BLVD STE 202",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588609",
            "telephone_number": "479-408-4197",
            "fax_number": "888-977-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKHOUSER",
        "first_name": "REAGAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1958-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237237719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.