Individual provider Active NPI

Scarlett Evert

  • Professional Counselor
  • Conway, AR
National Provider Identifier
1700023876
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1210098 Issued in AR
Practice address
575 Harkrider St
Conway, AR 72032-5631
Phone
(501) 781-2230
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X P1210098 AR
Professional Counselor 101YP2500X P1210098 AR Primary

Addresses

Primary practice location

575 Harkrider St
Conway, AR 72032-5631

Mailing address

10800 Financial Centre Pkwy Ste 290
Little Rock, AR 72211-3581
Phone (479) 461-1194

Other practice location 1

1311 Fort Street
Barling, AR 72923
Phone (479) 452-5040

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
I20240119001408 AR Practitioner - Mental Health Counselor 3375995905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Centers of Arkansas IncGroup PAC ID 5698127041, 3 clinicians
Chenal Family Therapy PLCGroup PAC ID 8325395627, 39 clinicians

Practice addresses (Care Compare)

1386 State Hwy 22 W
Dardanelle, AR 72834-2915
Phone (479) 477-3023

2621 W Main St
Russellville, AR 72801-2534
Phone (479) 595-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1210098ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chenal Family Therapy, PLC CurrentSince Jan 1, 2024 Accepting new patients
Transitions Counseling Clinic PLC Counselor PastSince Apr 9, 2023 Accepting new patients
Les Smith PA Past Accepting new patients

Locations

575 Harkrider St
Conway, AR 72032
Phone (501) 313-2678

304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294

10800 Financial Centre Pkwy
Ste 290
Little Rock, AR 72211
Phone 5017812230 ext. 2

10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300

2621 W Main St
Russellville, AR 72801
Phone (479) 219-5041

Organizations & group practices 4

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700023876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FINANCIAL CENTRE PKWY STE 290",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113581",
            "telephone_number": "479-461-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HARKRIDER ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325631",
            "telephone_number": "501-781-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Fort Street",
            "address_purpose": "LOCATION",
            "city": "Barling",
            "state": "AR",
            "postal_code": "72923",
            "country_code": "US",
            "telephone_number": "479-452-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERT",
        "first_name": "SCARLETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "P1210098",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1210098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.