Individual provider Active NPI

Chantal Brice, LPC

  • Professional Counselor
  • Russellville, AR
National Provider Identifier
1720618267
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2209020 Issued in AR
Practice address
110 Skyline Dr
Russellville, AR 72801-3362
Phone
(479) 968-1298
Fax
(479) 968-6053
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2209020 AR Primary
Mental Health Counselor 101YM0800X A2001010 AR

Addresses

Primary practice location

110 Skyline Dr
Russellville, AR 72801-3362

Mailing address

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570

Other practice location 1

104 S Chestnut St
Morrilton, AR 72110-3416
Phone (501) 204-0279

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
I20240105004189 AR Practitioner - Mental Health Counselor 1759732415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates IncGroup PAC ID 3173583564, 33 clinicians

Practice addresses (Care Compare)

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2001010ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Counseling Associates Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

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, 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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1720618267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013362",
            "telephone_number": "479-967-5570",
            "fax_number": "479-890-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013362",
            "telephone_number": "479-968-1298",
            "fax_number": "479-968-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Morrilton",
            "state": "AR",
            "postal_code": "721103416",
            "country_code": "US",
            "telephone_number": "501-204-0279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICE",
        "first_name": "CHANTAL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2209020",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2001010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.