Active NPI
Rachael Labitad
- Mental Health Counselor
- Siloam Springs, AR
National Provider Identifier
1881110146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 827 W Harvard St
Siloam Springs, AR 72761 - Phone
- (479) 549-3121
- Fax
- (479) 750-4843
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
827 W Harvard St
Siloam Springs, AR 72761
Mailing address
2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 475-0202
Other practice location 1
3715 N Business Dr Ste 104
Fayetteville, AR 72703-5287
Phone (479) 521-1532
Other practice location 2
3715 N Business Dr Ste 104
Fayetteville, AR 72703-5287
Phone (479) 521-1532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Sileby LN
Bella Vista, AR 72714-4324
701 Commerce St
Dallas, TX 75202-4586
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1881110146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S 48TH ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626683",
"telephone_number": "479-475-0202",
"fax_number": "479-750-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 W HARVARD ST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "72761",
"telephone_number": "479-549-3121",
"fax_number": "479-750-4843"
}
],
"practiceLocations": [
{
"address_1": "3715 N Business Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727035287",
"country_code": "US",
"telephone_number": "479-521-1532",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3715 N Business Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727035287",
"country_code": "US",
"telephone_number": "479-521-1532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LABITAD",
"first_name": "RACHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.