Individual provider Active NPI

David R Harris, LPC

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1851877849
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2010083 Issued in AR
Practice address
3111 S 70TH St
Fort Smith, AR 72903-5017
Phone
(479) 452-6650
Fax
(479) 452-5847
NPI assigned
Jul 13, 2018
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 A1809134 AR
Professional Counselor 101YP2500X P2010083 AR Primary
Case Manager/Care Coordinator 171M00000X AR

Addresses

Primary practice location

3111 S 70TH St
Fort Smith, AR 72903-5017

Mailing address

PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650

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
I20240524002352 AR Practitioner - Mental Health Counselor 8325498454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor House Incorporated of Fort Smith ArkansasGroup PAC ID 9032433222, 8 clinicians

Practice addresses (Care Compare)

1200 W Walnut St
Rogers, AR 72756-3521
Phone (479) 785-4083

615 N 19TH St
Fort Smith, AR 72901-3319
Phone (479) 785-4083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1809134ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients
The Guidance Center - Whole Health Mental Health CurrentSince Apr 15, 2024 Accepting new patients
The Guidance Center - New Center CurrentSince Apr 15, 2024 Accepting new patients
Harbor House Incorporated of Fort Smith Arkansas CurrentSince Sep 15, 2024 Accepting new patients
Gateway Recovery Center Past Accepting new patients

Locations

3111 S 70th St
Fort Smith, AR 72903

3117 S 70th St
Fort Smith, AR 72903
Phone 4797859400 ext. 1604

3811 Rogers Ave
Fort Smith, AR 72903
Phone (479) 395-1599

620 S 21st St
Fort Smith, AR 72901
Phone (479) 395-1599

1200 W Walnut St
Rogers, AR 72756
Phone (479) 631-9996

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1851877849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11818",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171818",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S 70TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035017",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1809134",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2010083",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.