Individual provider Active NPI

Leah Dawn Everett, LPC

  • Professional Counselor
  • Paragould, AR
National Provider Identifier
1871709923
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1112099 Issued in AR
Practice address
1905 Linwood Dr Ste 2
Paragould, AR 72450-6235
Phone
(870) 637-0472
Fax
(870) 292-3555
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1112099 AR Primary

Addresses

Primary practice location

1905 Linwood Dr Ste 2
Paragould, AR 72450-6235

Mailing address

1905 Linwood Dr Ste 2
Paragould, AR 72450-6235
Phone (870) 637-0472

Other practice location 1

1101 Morgan Street
Suite 8
Paragould, AR 72450-3949
Phone (870) 335-9483

Other identifiers 2

IdentifierTypeStateIssuer
5V987OtherARBCBS
173613795MedicaidAR

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

LicenseStateTypeSpecialty
P1112099ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Families, Inc. of Arkansas 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1871709923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 LINWOOD DR STE 2",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506235",
            "telephone_number": "870-637-0472",
            "fax_number": "870-292-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 LINWOOD DR STE 2",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506235",
            "telephone_number": "870-637-0472",
            "fax_number": "870-292-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Morgan Street",
            "address_2": "Suite 8",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724503949",
            "country_code": "US",
            "telephone_number": "870-335-9483",
            "fax_number": "870-335-9487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "LEAH",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1112099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5V987",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173613795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.