Active NPI
Lakewood Behavioral Health Associates
- Professional Counselor
- North Little Rock, AR
National Provider Identifier
1720191109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0108037
- Legal business name
- LAKEWOOD BEHAVIORAL HEALTH ASSOCIATES
- Practice address
- 4020 Richards Rd
Suite F
North Little Rock, AR 72117-2650 - Phone
- (501) 753-1616
- Fax
- (501) 753-8471
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Alexander Wilson, LPC, LMFT
- Title
- Clinic Director
- Phone
- (501) 753-1616
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P8709020 | AR | |
| Professional Counselor | 101YP2500X | P0108037 | AR | Primary |
| Clinical Psychologist | 103TC0700X | 75-23P | AR | |
| Clinical Social Worker | 1041C0700X | 989-C | AR | |
| Psychiatry Physician | 2084P0800X | C-6813 | AR |
Addresses
Primary practice location
4020 Richards Rd
Suite F
North Little Rock, AR 72117-2650
Mailing address
4020 Richards Rd
Suite F
North Little Rock, AR 72117-2650
Phone (501) 753-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-DE3206 | Other | AR | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
2500 McCain Blvd
#220
North Little Rock, AR 72116
Phone (501) 753-1616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1720191109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 RICHARDS RD",
"address_2": "SUITE F",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172650",
"telephone_number": "501-753-1616",
"fax_number": "501-753-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 RICHARDS RD",
"address_2": "SUITE F",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172650",
"telephone_number": "501-753-1616",
"fax_number": "501-753-8471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD BEHAVIORAL HEALTH ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "501-753-1616",
"authorized_official_credential": "LPC, LMFT"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P8709020",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P0108037",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "75-23P",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "989-C",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "C-6813",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "33-DE3206",
"state": "AR"
}
],
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.