Individual provider Active NPI

Misti Lira, LCSW

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1760511489
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2205-C Issued in AR
Practice address
215 N East Ave Ste 201
Fayetteville, AR 72701-5296
Phone
(479) 239-9181
Fax
(479) 210-2139
NPI assigned
Mar 6, 2007
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2205-C AR Primary

Addresses

Primary practice location

215 N East Ave Ste 201
Fayetteville, AR 72701-5296

Mailing address

1769 N Misty LN
Fayetteville, AR 72701-2890
Phone (479) 239-9181

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
I20080719000125 AR Practitioner - Clinical Social Worker 0143393439 Reassigns benefits to 1 organization
Practice locations: Marion, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Counseling AssociatesGroup PAC ID 3476979220, 3 clinicians

Practice addresses (Care Compare)

215 N E Ave
Suite 201
Fayetteville, AR 72701-5296
Phone (479) 239-9181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling Associates Clinical CurrentSince Apr 28, 2020 Accepting new patients
Dayspring Services of Arkansas LLC Past Accepting new patients

Locations

215 N East Ave
Ste 201
Fayetteville, AR 72701
Phone (479) 239-9181

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1760511489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 N MISTY LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012890",
            "telephone_number": "479-239-9181",
            "fax_number": "479-210-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N EAST AVE STE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015296",
            "telephone_number": "479-239-9181",
            "fax_number": "479-210-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRA",
        "first_name": "MISTI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2205-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.