Organization Active NPI

Arkansas Adult Psychotherapy Center, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Little Rock, AR
National Provider Identifier
1669853081
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ARKANSAS ADULT PSYCHOTHERAPY CENTER, PLLC
Practice address
5401 JFK Ste I
North Little Rock, AR 72116-6740
Phone
(501) 771-4693
Fax
(501) 771-4885
NPI assigned
Jun 11, 2015
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Dahlia Dannetta DistinNPI 1346472941
Title
Owner
Phone
(501) 758-9993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

5401 JFK Ste I
North Little Rock, AR 72116-6740

Mailing address

5401 JFK Blvd Ste I
North Little Rock, AR 72116-6740
Phone (501) 758-9993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170706002425 AR Part B Supplier - Clinic/Group Practice 3173892148 Receives reassigned benefits from 5 practitioners
Practice locations: North Little Rock, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1669853081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 JFK BLVD STE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166740",
            "telephone_number": "501-758-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 JFK STE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166740",
            "telephone_number": "501-771-4693",
            "fax_number": "501-771-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ADULT PSYCHOTHERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "DISTIN",
        "authorized_official_first_name": "DAHLIA",
        "authorized_official_middle_name": "DANNETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-758-9993"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.