Individual provider Active NPI

Tratesha Antronell Bell, DAY TREATMENT TECH

  • Mental Health Counselor
  • Crossett, AR
National Provider Identifier
1699151928
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P2208010 Issued in AR
Practice address
1308 W 5TH Ave
Crossett, AR 71635-2500
Phone
(870) 364-6471
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1902027 AR
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X P2208010 AR Primary

Addresses

Primary practice location

1308 W 5TH Ave
Crossett, AR 71635-2500

Mailing address

790 Roberts Drive
Monticello, AR 71655
Phone (870) 367-2461

Other practice location 1

1127 Second Street
Lake Village, AR 71653
Phone (870) 265-3808

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
I20231222001536 AR Practitioner - Mental Health Counselor 1254780794 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
Delta Counseling Associates IncGroup PAC ID 1850377508, 15 clinicians

Practice addresses (Care Compare)

790 Roberts Dr
Monticello, AR 71655-5723
Phone (870) 367-2461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1902027ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Delta Counseling Associates Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1308 W 5th Ave
Crossett, AR 71635
Phone (870) 364-6471

790 Roberts Dr
Monticello, AR 71655
Phone (870) 367-2461

1404 E Church St
Warren, AR 71671
Phone (870) 226-5856

Interoperability endpoints

  • Direct secure messaging: trateshabell@tdh.allscriptsdirect.net

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1699151928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ROBERTS DRIVE",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-2461",
            "fax_number": "870-460-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 W 5TH AVE",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352500",
            "telephone_number": "870-364-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 Second Street",
            "address_purpose": "LOCATION",
            "city": "Lake Village",
            "state": "AR",
            "postal_code": "71653",
            "country_code": "US",
            "telephone_number": "870-265-3808",
            "fax_number": "870-265-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "TRATESHA",
        "middle_name": "ANTRONELL",
        "credential": "DAY TREATMENT TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1902027",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2208010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

Verify at the official NPI Registry.