Mary Ann Chambers, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2101195 Issued in AR

Practice address

632 W Lancashire Blvd
Bella Vista, AR 72715-3027

Phone

(501) 781-2230

NPI assigned

May 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Natural State Counseling Centers

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1497538383
  Medicare reassignment
• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1922747047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 FINANCIAL CENTRE PKWY STE 290",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113581",
            "telephone_number": "501-781-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W LANCASHIRE BLVD",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153027",
            "telephone_number": "501-781-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2101195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burnett Transit Care LLC
• Gracie Anne Campbell, PT, DPT
• Rebekah Dawn Campos, DO
• Colton Alan Carmical, DDS
• Douglas A Carmical, D.D.S.
• Child'S Play Therapy Services, Inc.
• Chris R. Combs D.D.S., P.a.
• City of Bella Vista Ambulance Service
• Neal Hargett Clay III
• Emily Jeanne Collins, PT

• Mental Health Counselor in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.
• 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.