Active NPI
Sonya Steward, LAC
- Mental Health Counselor
- Dierks, AR
National Provider Identifier
1730786963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A2309009
- Practice address
- 1124 Main Ave
Dierks, AR 71833-9421 - Phone
- (870) 356-7404
- NPI assigned
- Oct 1, 2020
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | A2309009 | AR | Primary |
Addresses
Primary practice location
1124 Main Ave
Dierks, AR 71833-9421
Mailing address
7207 Shilling Cir
Texarkana, TX 75503-5404
Phone (903) 280-3808
Other names 1
- Sonya Ray
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
| License | State | Type | Specialty |
|---|---|---|---|
| A2309009 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past | Accepting new patients | |
| Impact Counseling Clinic, Incorporated | Mental Health | Past | Accepting new patients |
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25972/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Dierks, AR
- NPI 1205388071
-
- Community/Behavioral Health Agency
- De Queen, AR
- NPI 1194975102
-
- Community/Behavioral Health Agency
- Texarkana, AR
- NPI 1598761553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1730786963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7207 SHILLING CIR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035404",
"telephone_number": "903-280-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 MAIN AVE",
"city": "DIERKS",
"state": "AR",
"postal_code": "718339421",
"telephone_number": "870-356-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWARD",
"first_name": "SONYA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A2309009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONYA",
"last_name": "RAY",
"credential": "SAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dierks, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.