Individual provider Active NPI

Mindy Lester, LPE

  • Clinical Psychologist
  • Little Rock, AR
National Provider Identifier
1811008105
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03-03E Issued in AR
Practice address
1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676
Phone
(501) 537-3991
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 03-3E AR
Psychologist 103T00000X 03-03F AR
Clinical Psychologist 103TC0700X 03-03E AR Primary

Addresses

Primary practice location

1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676

Mailing address

3207 Moonlighting Place Dr
Bryant, AR 72022-8006
Phone (501) 247-3293

Other practice location 1

1210 Hogan Ln
Suite 200
Conway, AR 72034-8001
Phone (501) 932-0255

Other identifiers 1

IdentifierTypeStateIssuer
5Y824OtherARBCBS

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
03-3EARMDMental Health Counselor
03-03FARMDPsychologist
03-03EARMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Psychological Assessment Center Psychologist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1811008105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 MOONLIGHTING PLACE DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228006",
            "telephone_number": "501-247-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ALDERSGATE RD STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056676",
            "telephone_number": "501-537-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Hogan Ln",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720348001",
            "country_code": "US",
            "telephone_number": "501-932-0255",
            "fax_number": "501-932-0258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTER",
        "first_name": "MINDY",
        "credential": "LPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "03-3E",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "03-03F",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "03-03E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5Y824",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.