Individual provider Active NPI

Kirsten Orange, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1881167666
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
122835 Issued in AR
Practice address
2400 S 48TH St
Springdale, AR 72762-6683
Phone
(501) 354-1561
Fax
(501) 354-1564
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 122835 AR Primary

Addresses

Primary practice location

2400 S 48TH St
Springdale, AR 72762-6683

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020

Other practice location 1

27 Randolph Rd
Howell, NJ 07731-8611
Phone (866) 708-1240

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220002576 AR Practitioner - Nurse Practitioner 6901240761 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Associates IncGroup PAC ID 3173583564, 33 clinicians
Professional Counseling Associates IncGroup PAC ID 0941103477, 11 clinicians

Practice addresses (Care Compare)

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570

4354 Stockton Dr
North Little Rock, AR 72117-2917
Phone (501) 955-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
122835ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Guidance Center, Inc CurrentSince Jul 23, 2024 Accepting new patients
Arisa Health, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Supportive Psych Care of Arkansas PA CurrentSince Feb 1, 2024 Accepting new patients
Arisa Health, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Mind and Body Wellness, LLC. Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Counseling Associates, Inc CurrentSince Jul 23, 2024 Accepting new patients
Professional Counseling Associates Inc. CurrentSince Jul 23, 2024 Accepting new patients
Counseling Associates, Inc. CurrentSince Jul 23, 2024 Accepting new patients
Counseling Associates Inc Current Accepting new patients
Arisa Health, Inc. Registered Nurse Current Accepting new patients
Ozark Guidance Center, Inc CurrentSince Jul 23, 2024 Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients

Locations

2508 SE 20th St
Bentonville, AR 72712
Phone (479) 273-9088

405 N 2nd St
Cabot, AR 72023
Phone (501) 221-1843

350 Salem Rd
Ste 1
Conway, AR 72034
Phone (501) 336-8300

720 Lexington Ave
Fort Smith, AR 72901
Phone (479) 910-3169

1104 N College St
Huntsville, AR 72740
Phone (479) 738-2878

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

201 W 2nd St
Lonoke, AR 72086
Phone (501) 676-3151

3601 Richards Rd
North Little Rock, AR 72117
Phone (501) 221-1843

4354 Stockton Dr
North Little Rock, AR 72117
Phone (501) 221-1843

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1881167666",
    "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": "479-750-2020",
            "fax_number": "501-354-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "501-354-1561",
            "fax_number": "501-354-1564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Randolph Rd",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "NJ",
            "postal_code": "077318611",
            "country_code": "US",
            "telephone_number": "866-708-1240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORANGE",
        "first_name": "KIRSTEN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "122835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.