Active NPI
Rachel Caroline Casebolt, LPC
- Professional Counselor
- Heber Springs, AR
National Provider Identifier
1912490491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2202006
- Practice address
- 504 W Quitman St
Heber Springs, AR 72543-3833 - Phone
- (682) 206-0202
- Fax
- (844) 276-2121
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76546 | TX | |
| Professional Counselor | 101YP2500X | P2202006 | AR | Primary |
Addresses
Primary practice location
504 W Quitman St
Heber Springs, AR 72543-3833
Mailing address
504 W Quitman St
Heber Springs, AR 72543-3833
Phone (682) 206-0202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387327101 | Medicaid | TX | |
| 289160719 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241004000731 | AR | Practitioner - Mental Health Counselor | 8022549757 | Practice locations: Heber Springs, AR |
| I20250121003012 | TX | Practitioner - Mental Health Counselor | 8022549757 | Practice locations: Heber Springs, AR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2202006 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Nature Counseling, PLLC | Professional | Current | 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.
-
- Professional Counselor
- Heber Springs, AR
- NPI 1568189850
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1912490491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 W QUITMAN ST",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725433833",
"telephone_number": "682-206-0202",
"fax_number": "844-276-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 W QUITMAN ST",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725433833",
"telephone_number": "682-206-0202",
"fax_number": "844-276-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEBOLT",
"first_name": "RACHEL",
"middle_name": "CAROLINE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76546",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2202006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "387327101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "289160719",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Heber Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.