Individual provider Active NPI

Maureen A Roesler, LPC

  • Professional Counselor
  • Mountain Home, AR
National Provider Identifier
1639457088
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2205003 Issued in AR
Practice address
700 S Main Street
Mountain Home, AR 72653-3143
Phone
(870) 425-1041
Fax
(870) 425-1049
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2205003 AR Primary

Addresses

Primary practice location

700 S Main Street
Mountain Home, AR 72653-3143

Mailing address

1815 Pleasant Grove Road
Jonesboro, AR 72405-7870
Phone (870) 933-6886

Other practice location 1

89 Marion County 2048
Lead Hill, AR 72644-8024
Phone (870) 577-4966

Other practice location 2

801 S Pine St Ste C
Harrison, AR 72601-6008
Phone (870) 577-4966

Other identifiers 1

IdentifierTypeStateIssuer
A1902031OtherARMENTAL HEALTH COUNSELOR

Other names 1

  • Maureen A Roesler Professional name

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
I20240215002412 AR Practitioner - Mental Health Counselor 2466801147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Families, Inc of ArkansasGroup PAC ID 9335133669, 44 clinicians

Practice addresses (Care Compare)

1425 W Main St
Walnut Ridge, AR 72476-1431
Phone (870) 886-5303

700 S Main St
Mountain Home, AR 72653-4445
Phone (870) 425-1041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2205003ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Families, Inc. of Arkansas Mental Health CurrentSince Jan 10, 2024 Accepting new patients
Families, Inc of Arkansas Mental Health CurrentSince Jan 10, 2024 Accepting new patients

Locations

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

700 S Main St
Mountain Home, AR 72653
Phone (870) 425-1041

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1639457088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 PLEASANT GROVE ROAD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-933-6886",
            "fax_number": "870-933-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN STREET",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533143",
            "telephone_number": "870-425-1041",
            "fax_number": "870-425-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Marion County 2048",
            "address_purpose": "LOCATION",
            "city": "Lead Hill",
            "state": "AR",
            "postal_code": "726448024",
            "country_code": "US",
            "telephone_number": "870-577-4966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 S Pine St Ste C",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726016008",
            "country_code": "US",
            "telephone_number": "870-577-4966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROESLER",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2205003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR",
            "identifier": "A1902031",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "ROESLER",
            "middle_name": "A",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.