Harbor House Incorporated of Fort Smith Arkansas

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HARBOR HOUSE INCORPORATED OF FORT SMITH ARKANSAS

Doing business as

Harbor House, Incorporated

Practice address

615 N 19TH St
Fort Smith, AR 72901-3319

Phone

(479) 785-4083

Fax

(479) 668-2059

NPI assigned

Dec 4, 2006

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ranee Lewis

Title

Office Manager

Phone

(479) 785-4083

Specialties & licenses 2

Addresses

Other names 1

• Harbor House, Incorporated Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David R Harris, LPC

  • Professional Counselor
  • Fort Smith, AR
  • NPI 1851877849
  Medicare reassignment Care Compare group NPD
• Casey J Myers

  • Professional Counselor
  • Little Rock, AR
  • NPI 1366709347
  Medicare reassignment Care Compare group NPD
• Peggy Sue Ratliff, LPC

  • Mental Health Counselor
  • Conway, AR
  • NPI 1932358751
  Medicare reassignment Care Compare group NPD
• Maria Tereza Silva, LAC

  • Mental Health Counselor
  • Bentonville, AR
  • NPI 1164131330
  Medicare reassignment Care Compare group NPD
• Kaitlyn Victoria Smith

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1053912360
  Medicare reassignment Care Compare group NPD
• Susan Catherine Smith, LPC

  • Professional Counselor
  • Fort Smith, AR
  • NPI 1962439133
  Medicare reassignment Care Compare group NPD
• Jason Waller, LPC

  • Professional Counselor
  • Hot Springs, AR
  • NPI 1780987362

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Treva Ross Sanders, LPC

  • Mental Health Counselor
  • West Memphis, AR
  • NPI 1659450823
  Medicare reassignment Care Compare group
• Angela Campagna, LCSW

  • Clinical Social Worker
  • Conway, AR
  • NPI 1568949899
  Medicare reassignment NPD
• James Harris, LPC

  • Professional Counselor
  • Clarksville, AR
  • NPI 1548627565
  Medicare reassignment NPD
• Mandy Tigert, LPC

  • Professional Counselor
  • Russellville, AR
  • NPI 1215079546
  Medicare reassignment NPD
• Paul Castillo, LPC

  • Professional Counselor
  • Little Rock, AR
  • NPI 1811916547
  Medicare reassignment

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1922166123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729144207",
            "telephone_number": "479-785-4083",
            "fax_number": "479-494-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N 19TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013319",
            "telephone_number": "479-785-4083",
            "fax_number": "479-668-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Mountain Pine Rd",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719139158",
            "country_code": "US",
            "telephone_number": "479-785-4083",
            "fax_number": "479-434-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727015311",
            "country_code": "US",
            "telephone_number": "479-263-5680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 N 19th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729013319",
            "country_code": "US",
            "telephone_number": "479-785-4083 x11",
            "fax_number": "479-494-7726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 Alma Blvd.",
            "address_purpose": "LOCATION",
            "city": "van buren",
            "state": "AR",
            "postal_code": "72956",
            "country_code": "US",
            "telephone_number": "479-353-2808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 W Tyler Ave",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723014089",
            "country_code": "US",
            "telephone_number": "870-635-0369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718545220",
            "country_code": "US",
            "telephone_number": "870-331-0732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Walnut St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727563521",
            "country_code": "US",
            "telephone_number": "479-263-5680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 W Commercial St Ste B",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "AR",
            "postal_code": "729493216",
            "country_code": "US",
            "telephone_number": "479-214-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Pershing Cir",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721141841",
            "country_code": "US",
            "telephone_number": "479-785-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 E Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722062304",
            "country_code": "US",
            "telephone_number": "479-785-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 W 65th St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722098552",
            "country_code": "US",
            "telephone_number": "479-785-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Union St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724012863",
            "country_code": "US",
            "telephone_number": "870-316-6202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 W Grand Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719013927",
            "country_code": "US",
            "telephone_number": "501-625-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728015225",
            "country_code": "US",
            "telephone_number": "479-518-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Armour Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729044317",
            "country_code": "US",
            "telephone_number": "479-785-4083",
            "fax_number": "479-434-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3811 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729033045",
            "country_code": "US",
            "telephone_number": "479-785-4083",
            "fax_number": "479-434-6248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Sunflower Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720343685",
            "country_code": "US",
            "telephone_number": "479-785-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Quail Run Dr",
            "address_purpose": "LOCATION",
            "city": "Mulberry",
            "state": "AR",
            "postal_code": "729478534",
            "country_code": "US",
            "telephone_number": "479-785-4083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARBOR HOUSE INCORPORATED OF FORT SMITH ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RANEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-785-4083",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor House, Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista Hannaman
• Olivia Hanson, PT, DPT
• Mohab Haraka
• Stuart Dean Haraway, M.D.
• Kerri Harber, COTA
• Star Harbottle, LAC
• Allison Hardin
• Jessica Hare, PTA
• Devi Hari, MD
• Adrianne Harless, MHPP

• Substance Abuse Rehabilitation Facility in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.