Individual provider Active NPI

Rachel Caroline Casebolt, LPC

  • Professional Counselor
  • Heber Springs, AR
National Provider Identifier
1912490491
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2202006 Issued in AR
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

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
387327101MedicaidTX
289160719MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
P2202006ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Nature Counseling, PLLC Professional CurrentSince Oct 30, 2022 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": "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

Verify at the official NPI Registry.