Individual provider Active NPI

Paul Bailey III, LPC

  • Professional Counselor
  • Forrest City, AR
National Provider Identifier
1669802823
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1608101 Issued in AR
Practice address
1501 Dawson Rd
Forrest City, AR 72335-2088
Phone
(870) 630-2328
NPI assigned
Nov 25, 2013
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 P1608101 AR Primary

Addresses

Primary practice location

1501 Dawson Rd
Forrest City, AR 72335-2088

Mailing address

603 Ford Rd
Marion, AR 72364-8035

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
I20240508001082 AR Practitioner - Mental Health Counselor 7416398409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Changes Behavioral Health, LLCGroup PAC ID 6103149653, 8 clinicians

Practice addresses (Care Compare)

204 Mississippi St S
Wynne, AR 72396-3025
Phone (870) 208-8499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1311140ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Behavioral Health, LLC CurrentSince May 1, 2024 Accepting new patients
Supportive Psych Care of Arkansas PA CurrentSince Apr 17, 2024 Accepting new patients
Motivational Inspirational Transforming Counseling and Consulting LLC CurrentSince Mar 16, 2021 Accepting new patients

Locations

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

204 Mississippi St S
Wynne, AR 72396
Phone (870) 208-8499

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1669802823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 FORD RD",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723648035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DAWSON RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352088",
            "telephone_number": "870-630-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1608101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

Verify at the official NPI Registry.