Fort Smith Public Schools

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P0011035 Issued in AR

Legal business name

FORT SMITH PUBLIC SCHOOLS

Practice address

3205 Jenny Lind Rd
Building D
Fort Smith, AR 72901-7101

Phone

(479) 785-2501

Fax

(479) 709-6059

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stevie Locke

Title

Special Ed Supervisor

Phone

(479) 785-2501

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• School Based Mental Health Services Other name

Tax ID family

Fort Smith Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Smith School District 100

  • Local Education Agency (LEA)
  • Fort Smith, AR
  • NPI 1578617171
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Brennan, M.S., SLP-CFY

  • Speech-Language Pathologist
  • Fort Smith, AR
  • NPI 1477745297
  NPD (past)
• Jana Mankin

  • Physical Therapy Assistant
  • Fort Smith, AR
  • NPI 1578017968
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1952525685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1948",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021948",
            "telephone_number": "479-785-2501",
            "fax_number": "479-709-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 JENNY LIND RD",
            "address_2": "BUILDING D",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017101",
            "telephone_number": "479-785-2501",
            "fax_number": "479-709-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "SPECIAL ED SUPERVISOR",
        "authorized_official_telephone_number": "479-785-2501",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "97-8E",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "88-12E",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "86-3E",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "76-16E",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0011035",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "98-07E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158216791",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "School Based Mental Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fort Smith Hma, LLC (Sparks Regional Medical Center Rehab)
• Fort Smith Medical Center LLC
• Fort Smith Neuroscience Center, PLLC.
• Fort Smith Oral & Maxillofacial Surgery Group PA-Curry and Butler
• Fort Smith Physical Therapy Center
• Fort Smith Radiation Oncology
• Fort Smith Regional Dialysis Center LLC
• Fort Smith Regional Dialysis Center LLC
• Fort Smith School District 100
• Fort Smith Sleep Lab LLC (Disease Prevention Services)

• Mental Health Counselor in Fort Smith, AR
• Providers in Fort Smith, 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 Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.