Active NPI
Mindy Lester, LPE
- Clinical Psychologist
- Little Rock, AR
National Provider Identifier
1811008105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03-03E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5Y824 | Other | AR | BCBS |
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 |
|---|---|---|---|
| 03-3E | AR | MD | Mental Health Counselor |
| 03-03F | AR | MD | Psychologist |
| 03-03E | AR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychologist
- Conway, AR
- NPI 1255697330
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.