Individual provider Active NPI

Gretchen Suzanne Douthit, LPC, LPE, ACADC

  • Mental Health Counselor
  • Russellville, AR
National Provider Identifier
1730168873
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90-14E Issued in AR
Practice address
103 N Hastings Ave
Russellville, AR 72801-2425
Phone
(479) 968-4200
NPI assigned
Jan 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A-236 AR
Mental Health Counselor 101YM0800X 90-14E AR Primary
Professional Counselor 101YP2500X P9510030 AR

Addresses

Primary practice location

103 N Hastings Ave
Russellville, AR 72801-2425

Mailing address

103 N Hastings Ave
Russellville, AR 72801-2425
Phone (479) 968-4200

Other names 1

  • Gretchen Suzanne Van Kleef Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A-236ARMDAddiction (Substance Use Disorder) Counselor
90-14EARMDMental Health Counselor
P9510030ARMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730168873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N HASTINGS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012425",
            "telephone_number": "479-968-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N HASTINGS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012425",
            "telephone_number": "479-968-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTHIT",
        "first_name": "GRETCHEN",
        "middle_name": "SUZANNE",
        "credential": "LPC, LPE, ACADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "A-236",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "90-14E",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P9510030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "VAN KLEEF",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.