MRS. DALISHA LAREECE SMITH MHPP
NPI 1134410467
Counselor - Professional in Wynne, AR

Active since April 20, 2011PECOS Enrolled
1792 FALLS BLVD N STE 5, WYNNE, AR 72396(870) 208-9333(479) 323-3912 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Aug 1, 2022, Feb 22, 2022 (3 updates tracked since 2022).

About Mrs. Dalisha Lareece Smith Mhpp NPPES

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

MRS. DALISHA LAREECE SMITH MHPP (NPI 1134410467) is an individual professional provider in Wynne, Arkansas, licensed in Arkansas (P2306029) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jonesboro.

NPPES Registry Identity

NPI1134410467
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. DALISHA LAREECE SMITHCredential: MHPP
Location Address1792 FALLS BLVD N STE 5Wynne, AR 72396-4093
Mailing AddressPo Box 11064Fayetteville, AR 72703-1001 · (870) 520-5014 · Fax (479) 323-3912
Fax(479) 323-3912
Sole ProprietorNo
Enumeration DateApril 20, 2011
Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
NPI 1134410467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · P2306029
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinical EthicistTaxonomy 174V00000X
1792 FALLS BLVD N STE 5, Wynne, AR 72396

Secondary Practice Location 1

Location 11217 W Parker Rd Ste DJonesboro, AR 72404-8497 · Phone (870) 520-5014 · Fax (479) 323-3912

Accepted 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)

Mrs. Dalisha Lareece Smith Mhpp 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 2

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

Social Worker
1792 FALLS BLVD N STE 5
WYNNE, AR 72396
Counselor
1792 FALLS BLVD N STE 5
WYNNE, AR 72396

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalisha Smith's NPI number?

The NPI number for Dalisha Smith is 1134410467. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Dalisha Smith located?

Dalisha Smith practices at 1792 Falls Blvd N Ste 5, Wynne, AR 72396. The listed phone number is (870) 208-9333.

What is Dalisha Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dalisha Smith enrolled in Medicare?

Yes. Dalisha Smith is registered in the Medicare PECOS enrollment system.

What insurance does Dalisha Smith accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave, Providence Health Plan and UnitedHealthcare list Dalisha Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dalisha Smith was last updated on December 18, 2023. 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.