Individual provider Active NPI

Lakenya Danielle Mitchell, B.S., LPC

  • Professional Counselor
  • Cabot, AR
National Provider Identifier
1891181475
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2309003 Issued in AR
Practice address
203 Plaza Blvd # a
Cabot, AR 72023-3749
Phone
(501) 222-9382
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 P2309003 AR Primary

Addresses

Primary practice location

203 Plaza Blvd # a
Cabot, AR 72023-3749

Mailing address

53 Bent Tree Dr
Cabot, AR 72023-3735
Phone (501) 259-7297

Other names 1

  • Lakenya Danielle Williams Former name

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
I20240209003610 AR Practitioner - Mental Health Counselor 6204279847 Practice locations: Cabot, AR

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

117 Financial Dr
Cabot, AR 72023-8668
Phone (501) 222-9382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
P2309003ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Family Counseling and Consulting PLLC Professional CurrentSince Apr 14, 2024 Accepting new patients

Locations

203 Plaza Blvd
#A
Cabot, AR 72023
Phone (501) 222-9382

117 Financial Dr
Cabot, AR 72023
Phone (501) 222-9382

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, 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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1891181475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 BENT TREE DR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233735",
            "telephone_number": "501-259-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PLAZA BLVD # A",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233749",
            "telephone_number": "501-222-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "LAKENYA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "B.S., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2309003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKENYA",
            "last_name": "WILLIAMS",
            "middle_name": "DANIELLE",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.