Individual provider Active NPI

Gracie Gilbreth, LPC

  • Mental Health Counselor
  • Fort Smith, AR
National Provider Identifier
1760057350
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P2403010 Issued in AR
Practice address
4611 Rogers Ave Ste 200
Fort Smith, AR 72903-3137
Phone
(479) 650-7903
Fax
(479) 452-5847
NPI assigned
May 25, 2021
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 P2403010 AR Primary
Mental Health Counselor 101YM0800X A2105004 AR

Addresses

Primary practice location

4611 Rogers Ave Ste 200
Fort Smith, AR 72903-3137

Mailing address

4611 Rogers Ave Ste 200
Fort Smith, AR 72903-3137
Phone (479) 650-7903

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
I20250411000106 AR Practitioner - Mental Health Counselor 0345764395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheryl Edwards Preferred Counseling PAGroup PAC ID 7012431455, 4 clinicians

Practice addresses (Care Compare)

4611 Rogers Ave
Suite 200
Fort Smith, AR 72903-3137
Phone (479) 709-9880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A2105004ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl Edwards Preferred Counseling, P.a. Mental Health CurrentSince Feb 12, 2025 Accepting new patients

Locations

4611 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 322-9273

Organizations & group practices 1

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1760057350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033137",
            "telephone_number": "479-650-7903",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033137",
            "telephone_number": "479-650-7903",
            "fax_number": "479-452-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBRETH",
        "first_name": "GRACIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2403010",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2105004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.