Individual provider Active NPI

Christine Marie Dickson, LPC

  • Mental Health Counselor
  • Arkadelphia, AR
National Provider Identifier
1679079990
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1903037 Issued in AR
Practice address
205 N 26TH St
Arkadelphia, AR 71923
Phone
(501) 624-7111
NPI assigned
Apr 4, 2018
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1903037 AR Primary

Addresses

Primary practice location

205 N 26TH St
Arkadelphia, AR 71923

Mailing address

125 Wellness Way
Hot Springs, AR 71913-6478
Phone (501) 624-7111

Other practice location 1

1820 Central Ave Ste Bc
Hot Springs National Park, AR 71901-6847
Phone (501) 623-6000

Other names 1

  • Christine Marie Bettes Former 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
I20240506000074 AR Practitioner - Mental Health Counselor 8820438096 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
Group practices
Auremelle CounselingGroup PAC ID 7719339084, 3 clinicians

Practice addresses (Care Compare)

312 Professional Park Dr
Suite C
Arkadelphia, AR 71923-5355
Phone (870) 464-1202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1903037ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Auremelle Counseling CurrentSince Feb 14, 2024 Accepting new patients
Ouachita Regional Counseling & Mental Health Center, Inc. PastSince Nov 10, 2019 Accepting new patients
Ouachita Regional Counseling and Mental Health Center, Inc. Past Accepting new patients

Locations

2607 Caddo St
Ste 10
Arkadelphia, AR 71923
Phone (501) 655-6243

312 Professional Park Dr
Ste C
Arkadelphia, AR 71923
Phone (870) 230-1000

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1679079990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WELLNESS WAY",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136478",
            "telephone_number": "501-624-7111",
            "fax_number": "501-620-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N 26TH ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "71923",
            "telephone_number": "501-624-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Central Ave Ste Bc",
            "address_purpose": "LOCATION",
            "city": "Hot Springs National Park",
            "state": "AR",
            "postal_code": "719016847",
            "country_code": "US",
            "telephone_number": "501-623-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1903037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "BETTES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arkadelphia, AR

Sources for this page

Verify at the official NPI Registry.