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SIDNEY ICENHOWER
NPI 1750234845
Counselor - Mental Health in Russellville, AR

Active since February 18, 2026
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801(479) 968-2001 Get Directions Write a Review

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

About Sidney Icenhower NPPES

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

SIDNEY ICENHOWER (NPI 1750234845) is an individual mental health provider in Russellville, Arkansas, licensed in Arkansas (A2602019) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1750234845
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSIDNEY ICENHOWER
Location Address1310 W MAIN ST STE 100Russellville, AR 72801-2803
Mailing Address1310 W Main St Ste 201Russellville, AR 72801-2803 · (479) 968-2001
Phone(479) 968-2001
Sole ProprietorNo
Enumeration DateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1750234845 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 · A2602019
1310 W MAIN ST STE 100, Russellville, AR 72801
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Other Providers at the Same Location NPPES 20

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

MRS. MARILYN JEAN MCKOWN MHPP
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
AMANDA DAVIS LPC
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
KELCEE SITZES QBHP-D
Case Manager/Care Coordinator
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
LESLIE SOUTHALL
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
JESSICA L BRADWELL MS
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
ALEC FONTENOT LAC
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
BROOKE GRICE LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
ASHTON GUTHRIE LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011

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 Sidney Icenhower's NPI number?

The NPI number for Sidney Icenhower is 1750234845. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Where is Sidney Icenhower located?

Sidney Icenhower practices at 1310 W Main St Ste 100, Russellville, AR 72801. The listed phone number is (479) 968-2001.

What is Sidney Icenhower's specialty?

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

When was this NPI record last updated?

The NPPES record for Sidney Icenhower was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.