Active NPI
Destiny Thomas
- Mental Health Counselor
- Little Rock, AR
National Provider Identifier
1841961018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P2412004
- Practice address
- 1 Lile CT Ste 200
Little Rock, AR 72205-6240 - Phone
- (501) 663-1837
- Fax
- (501) 265-0302
- NPI assigned
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P2412004 | AR | Primary |
Addresses
Primary practice location
1 Lile CT Ste 200
Little Rock, AR 72205-6240
Mailing address
6210 Baseline Rd
Little Rock, AR 72209-4728
Phone (501) 265-0302
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 |
|---|---|---|---|
| P2412004 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1841961018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 BASELINE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722094728",
"telephone_number": "501-265-0302",
"fax_number": "501-265-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LILE CT STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056240",
"telephone_number": "501-663-1837",
"fax_number": "501-265-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DESTINY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P2412004",
"primary": true
}
],
"identifiers": [],
"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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.