HENRY SMITH
NPI 1649884560
Counselor - Professional in Springdale, AR

Active since September 08, 2020PECOS EnrolledAccepts Medicare Assignment
3057 SPRINGDALE AVE, SPRINGDALE, AR 72762(479) 756-1699(479) 756-1693 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2026, Jun 19, 2023, Jun 8, 2023 and 1 more (4 updates tracked since 2020).

About Henry Smith NPPES

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

HENRY SMITH (NPI 1649884560) is an individual professional provider in Springdale, Arkansas, licensed in Arkansas (P2306001) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649884560
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameHENRY SMITH
Location Address3057 SPRINGDALE AVESpringdale, AR 72762-4346
Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534
Fax(479) 756-1693
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 8, 2020
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1649884560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2306001
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A1906072 (AR)
3057 SPRINGDALE AVE, Springdale, AR 72762

Secondary Practice Location 1

Location 160 W Sunbridge DrFayetteville, AR 72703-1822 · Phone (479) 695-1240

Other Identifiers 1

Medicaid302267719AR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Henry Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234576869
PECOS Enrollment IDI20240319001825
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Henry Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

13 mi
Federally Qualified Health Center (FQHC)
3150 E. HERITAGE PARKWAY
Farmington, AR 72753
  • Reassigned Medicare billing, Arkansas enrollment
  • 266 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Arkansas enrollment
  • 57 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

Pediatrics
3057 SPRINGDALE AVE
SPRINGDALE, AR 72762
Nurse Practitioner (Family)
3057 SPRINGDALE AVE
SPRINGDALE, AR 72762
Registered Nurse (General Practice)
3057 SPRINGDALE AVE
SPRINGDALE, AR 72762
Physician Assistant
3057 SPRINGDALE AVE
SPRINGDALE, AR 72762
Nurse Practitioner (Primary Care)
3057 SPRINGDALE AVE
SPRINGDALE, AR 72762
Pediatrics
3057 SPRINGDALE AVE
SPRINGDALE, AR 72762
Dietitian, Registered
3057 SPRINGDALE AVE
SPRINGDALE, AR 72762
Dietitian, Registered
3057 SPRINGDALE AVE
SPRINGDALE, AR 72762

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 Henry Smith's NPI number?

The NPI number for Henry Smith is 1649884560. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Henry Smith located?

Henry Smith practices at 3057 Springdale Ave, Springdale, AR 72762. The listed phone number is (479) 756-1699.

What is Henry Smith's specialty?

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

Is Henry Smith enrolled in Medicare?

Yes. Henry Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Henry Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Smith reassigns Medicare benefits to 2 organizations: Arcare (Farmington, AR) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henry Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Henry Smith accept?

Health plans from Health Advantage and Octave list Henry 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 Henry Smith was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.