Individual provider Active NPI

Rebecca Spooner, LPC

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1992844310
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1101005 Issued in AR
Practice address
101 N Woodrow St
Little Rock, AR 72205-4341
Phone
(501) 265-0046
Fax
(501) 265-0057
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1101005 AR Primary

Addresses

Primary practice location

101 N Woodrow St
Little Rock, AR 72205-4341

Mailing address

165 Pruett Rd
Conway, AR 72032-9791
Phone (501) 733-9872

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240401003416 AR Practitioner - Mental Health Counselor 7517304157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspring Renewal CenterGroup PAC ID 1254778897, 6 clinicians

Practice addresses (Care Compare)

101 N Woodrow St
Little Rock, AR 72205-4341
Phone (501) 265-0046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Renewal Center Mental Health CurrentSince May 1, 2013 Accepting new patients

Locations

101 N Woodrow St
Little Rock, AR 72205
Phone (501) 265-0046

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1992844310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PRUETT RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329791",
            "telephone_number": "501-733-9872",
            "fax_number": "501-666-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WOODROW ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054341",
            "telephone_number": "501-265-0046",
            "fax_number": "501-265-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONER",
        "first_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1101005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.