Individual provider Active NPI

Ana Rebeca Rodriguez, LPC

  • Professional Counselor
  • Holiday Island, AR
National Provider Identifier
1730806522
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2502011 Issued in AR
Practice address
89 Hillside Dr
Holiday Island, AR 72631-4658
Phone
(479) 253-5767
Fax
(479) 253-5777
NPI assigned
Oct 24, 2022
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2208012 AR
Professional Counselor 101YP2500X P2502011 AR Primary

Addresses

Primary practice location

89 Hillside Dr
Holiday Island, AR 72631-4658

Mailing address

2558 E Mission Blvd Ste 202
Fayetteville, AR 72703-5603
Phone (479) 365-4802

Other practice location 1

18502 Cartwright Mountain Rd
Mountainburg, AR 72946-4012
Phone (479) 446-7641

Other identifiers 2

IdentifierTypeStateIssuer
344118719MedicaidAR
291278795MedicaidAR

Other names 1

  • Ana Rebeca Rodriguez Ortiz Other 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
A2208012ARMDMental Health Counselor
P2502011ARMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1730806522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 E MISSION BLVD STE 202",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035603",
            "telephone_number": "479-365-4802",
            "fax_number": "479-454-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HILLSIDE DR",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726314658",
            "telephone_number": "479-253-5767",
            "fax_number": "479-253-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18502 Cartwright Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Mountainburg",
            "state": "AR",
            "postal_code": "729464012",
            "country_code": "US",
            "telephone_number": "479-446-7641",
            "fax_number": "479-446-7347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANA",
        "middle_name": "REBECA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2208012",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2502011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344118719",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291278795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "RODRIGUEZ ORTIZ",
            "middle_name": "REBECA",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holiday Island, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.