LESLEY SELF FORD LPC
NPI 1134259443
Counselor - Mental Health in Fordyce, AR

Q: What is Lesley Self Ford's NPI number?

The NPI number for Lesley Self Ford is 1134259443. It was assigned to this individual provider in the NPPES registry on March 6, 2007. The provider is also known as Lesley Ford.

Q: What is Lesley Self Ford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Lesley Self Ford was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 06, 2007PECOS Enrolled

201 N CLIFTON ST, FORDYCE, AR 71742(870) 352-6311(870) 352-0223 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2018, Mar 22, 2016 (2 updates tracked since 2016).

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About Lesley Self Ford Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLEY SELF FORD LPC (NPI 1134259443) is an individual mental health provider in Fordyce, Arkansas, licensed in Arkansas (A1808119) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134259443

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLESLEY SELF FORDCredential: LPC

Location Address201 N CLIFTON STFordyce, AR 71742-3026

Mailing AddressPo Box 115Ivan, AR 71748-0115 · (501) 837-5773 · Fax (870) 352-0223

Phone(870) 352-6311

Fax(870) 352-0223

Sole ProprietorNo

Enumeration DateMarch 6, 2007

Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2024

✔ NPI 1134259443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AR · A1808119

201 N CLIFTON ST, Fordyce, AR 71742

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Other Names 1

Professional Name (2)Lesley Ford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lesley Self Ford Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIONEER HEALTH SERVICES, INC.

Psychiatry & Neurology (Psychiatry)