Emily Libertini
Individual provider Active NPI Mental Health Counselor · Springdale, AR
NPI 1922446624 · NPPES record last updated Jun 5, 2013
Key facts
- NPI
- 1922446624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2466 S 48TH St
Springdale, AR 72762-6683 - Phone
- (479) 750-2020
- Fax
- (479) 750-8967
- NPI assigned
- Jun 5, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 30022
Little Rock, AR 72260
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260116002214 | AR | Practitioner - Mental Health Counselor | 3870070188 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Baptist Children'S Homes and Family Ministries | Mental Health | Current |
Accepting new patients |
Locations
12320 Interstate 30
Little Rock, AR 72210
Phone (501) 410-1567
9701 W Markham St
Little Rock, AR 72205
Phone (501) 424-4750
1702 W Huntsville Ave
Springdale, AR 72762
Phone (479) 521-1296
1200 Bridges Ave E
Wynne, AR 72396
Phone (870) 336-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2466 S 48TH St
Springdale, AR 72762-6683
Mailing address
2466 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020
Other providers in Springdale, AR
- Kylee Lewis
- Madison Lewis
- Yolande Lewis
- LHCG Cii, LLC
- LHCG Xlii, LLC
- Kirstie Liebenberg
- Kristen Leigh Lienhart
- Jennifer Elaine Light
- Sarah Ligon
- Bo Lin
All providers in Springdale, AR · Mental Health Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.