David Lengefeld, LPC
Individual provider Active NPI Counselor · Sheridan, AR
NPI 1861604456 · NPPES record last updated Mar 13, 2017
Key facts
- NPI
- 1861604456
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- P0910065 (AR)
- Practice address
- 201 S Rose St
Sheridan, AR 72150-2451 - Phone
- (870) 917-2171
- Fax
- (870) 917-2161
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chenal Family Therapy PLC
Practice addresses (Care Compare)
7500 Dollarway Rd
Suite 401
White Hall, AR 71602-3083
Phone (870) 340-2636
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 |
|---|---|---|---|---|
| I20241120004651 | AR | Practitioner - Mental Health Counselor | 4284169707 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chenal Family Therapy, PLC | Current |
Accepting new patients | |
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients | |
| Transitions Counseling Clinic PLC | Counselor | Past |
Accepting new patients |
| BHC Pinnacle Pointe Hospital | Past | Accepting new patients |
Locations
304 W Collin Raye Dr
Ste 103A
De Queen, AR 71832
Phone (870) 200-9294
10311 W Markham St
Little Rock, AR 72205
Phone (501) 681-3300
7500 Dollarway Rd
Ste 401
White Hall, AR 71602
Phone (870) 466-4754
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | P0910065 | AR | Yes |
Addresses
Primary practice location
201 S Rose St
Sheridan, AR 72150-2451
Mailing address
201 S Rose St
Sheridan, AR 72150-2451
Phone (870) 917-2171
Other providers in Sheridan, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2017. 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.