Active NPI
Ana Rebeca Rodriguez, LPC
- Professional Counselor
- Holiday Island, AR
National Provider Identifier
1730806522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2502011
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344118719 | Medicaid | AR | |
| 291278795 | Medicaid | AR |
Other names 1
- Ana Rebeca Rodriguez Ortiz
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 |
|---|---|---|---|
| A2208012 | AR | MD | Mental Health Counselor |
| P2502011 | AR | MD | Professional 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.