Individual provider Active NPI

Rachel Stumbaugh, LPC

  • Professional Counselor
  • Pottsville, AR
National Provider Identifier
1770834228
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2007050 Issued in AR
Practice address
5395 W Ash St Ste 2
Pottsville, AR 72858-9228
Phone
(479) 222-0268
Fax
(636) 324-8551
NPI assigned
Sep 24, 2012
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 P2007050 AR
Professional Counselor 101YP2500X P2007050 AR Primary

Addresses

Primary practice location

5395 W Ash St Ste 2
Pottsville, AR 72858-9228

Mailing address

8266 Sr 105 N
Russellville, AR 72802-1470
Phone (479) 880-6934

Other practice location 1

2621 W Main St Ste 11
Russellville, AR 72801-2551
Phone (479) 880-6934

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
I20240103004568 AR Practitioner - Mental Health Counselor 9133570153 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2007050ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Agape Professional Counseling LLC Professional CurrentSince Mar 16, 2026 Accepting new patients
Counseling Associates Inc Current Accepting new patients
River Valley Youth Foundation CurrentSince Jul 1, 2025 Accepting new patients
Counseling Associates, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1021 E Poplar St
Clarksville, AR 72830
Phone (479) 754-8610

104 Lock and Dam Rd
Russellville, AR 72802
Phone (479) 222-0268

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

2621 W Main St
Ste 11
Russellville, AR 72801
Phone (479) 880-6934

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

Organizations & group practices 5

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1770834228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8266 SR 105 N",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728021470",
            "telephone_number": "479-880-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 W ASH ST STE 2",
            "city": "POTTSVILLE",
            "state": "AR",
            "postal_code": "728589228",
            "telephone_number": "479-222-0268",
            "fax_number": "636-324-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2621 W Main St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012551",
            "country_code": "US",
            "telephone_number": "479-880-6934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUMBAUGH",
        "first_name": "RACHEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2007050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2007050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, AR

Sources for this page

Verify at the official NPI Registry.