Kristin Beightol, MSW, LCSW, LADAC
Individual provider Active NPI Clinical Social Worker · Harrison, AR
NPI 1821370339 · NPPES record last updated Jan 29, 2021
Key facts
- NPI
- 1821370339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3213-C (AR)
- Practice address
- 114 E Crandall Ave Ste B
Harrison, AR 72601-3628 - Phone
- (870) 741-8484
- Fax
- (870) 741-4088
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Growing Places Counseling PLLC
Practice addresses (Care Compare)
1217 N Main St
Harrison, AR 72601-2509
Phone (870) 204-2875
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130606000228 | AR | Practitioner - Clinical Social Worker | 6406094259 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348L | AR | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simple Soul Counseling Services LLC | Current |
Accepting new patients | |
| Growing Places Counseling, PLLC | Current |
Accepting new patients | |
| Chenal Family Therapy, PLC | Current |
Accepting new patients | |
| Transitions Counseling Clinic PLC | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Locations
304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294
303 W Newman Ave
Harrison, AR 72601
Phone (479) 318-2828
121 N Main St
Harrison, AR 72601
Phone (870) 204-5640
1217 N Main St
Harrison, AR 72601
Phone (870) 204-2875
10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 348L | AR | |
| Clinical Social Worker | 1041C0700X | 3213-C | AR | Yes |
Addresses
Primary practice location
114 E Crandall Ave Ste B
Harrison, AR 72601-3628
Mailing address
2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000
Other practice location 1
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone (210) 615-8880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229111719 | Medicaid | AR |
Other providers in Harrison, AR
- Baxter Regional Health System
- Baxter Regional Health System
- Baxter Regional Health System
- Laini Marie Beans
- Stephen A. Beeler
- Christopher Bennett
- Bergman School District
- Bergman School District 3
- Rachel May Bertrand
- Tammy Besse
All providers in Harrison, AR · Clinical Social Worker in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.