HARBOR HOUSE, INCORPORATED
NPI 1922166123
Substance Abuse Rehabilitation Facility in Fort Smith, AR

Active since December 04, 2006CLIA 04D2019190 · Waiver
615 N 19TH ST, FORT SMITH, AR 72901(479) 785-4083(479) 668-2059 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2023, May 25, 2023, May 9, 2022 and 4 more (7 updates tracked since 2019).

About Harbor House, Incorporated NPPES

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

HARBOR HOUSE, INCORPORATED (NPI 1922166123) is a healthcare organization registered as a substance abuse rehabilitation facility in Fort Smith, Arkansas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2027, maintains 18 additional practice locations, and lists Ranee Lewis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922166123
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHARBOR HOUSE INCORPORATED OF FORT SMITH ARKANSAS
Location Address615 N 19TH STFort Smith, AR 72901-3319
Mailing AddressPo Box 4207Fort Smith, AR 72914-4207 · (479) 785-4083 · Fax (479) 494-7726
Fax(479) 668-2059
Organization SubpartNo
Authorized OfficialRanee LewisOffice Manager · (479) 785-4083
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 27, 20237 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2023
✔ NPI 1922166123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
615 N 19TH ST, Fort Smith, AR 72901

Other Names 1

Doing Business AsHarbor House, Incorporated

Secondary Practice Locations 18

Location 1812 Mountain Pine RdHot Springs, AR 71913-9158 · Phone (479) 785-4083 · Fax (479) 434-6248
Location 2130 N College AveFayetteville, AR 72701-5311 · Phone (479) 263-5680
Location 3615 N 19th StFort Smith, AR 72901-3319 · Phone (479) 785-4083 ext. 11 · Fax (479) 494-7726
Location 4605 Alma Blvd.van buren, AR 72956 · Phone (479) 353-2808
Location 5228 W Tyler AveWest Memphis, AR 72301-4089 · Phone (870) 635-0369
Location 6604 Walnut StTexarkana, AR 71854-5220 · Phone (870) 331-0732
Location 71200 W Walnut St Ste 2ARogers, AR 72756-3521 · Phone (479) 263-5680
Location 8220 W Commercial St Ste BOzark, AR 72949-3216 · Phone (479) 214-0050
Location 92001 Pershing CirNorth Little Rock, AR 72114-1841 · Phone (479) 785-4083
Location 10302 E Roosevelt RdLittle Rock, AR 72206-2304 · Phone (479) 785-4083
Location 113700 W 65th StLittle Rock, AR 72209-8552 · Phone (479) 785-4083
Location 12511 Union St Ste 230Jonesboro, AR 72401-2863 · Phone (870) 316-6202
Location 13615 W Grand Ave Ste AHot Springs, AR 71901-3927 · Phone (501) 625-2383
Location 14702 E 4th StRussellville, AR 72801-5225 · Phone (479) 518-6028
Location 153900 Armour AveFort Smith, AR 72904-4317 · Phone (479) 785-4083 · Fax (479) 434-6248
Location 163811 Rogers AveFort Smith, AR 72903-3045 · Phone (479) 785-4083 · Fax (479) 434-6248
Location 171055 Sunflower DrConway, AR 72034-3685 · Phone (479) 785-4083
Location 18900 Quail Run DrMulberry, AR 72947-8534 · Phone (479) 785-4083

Other Identifiers 2

Medicaid236252526AR
Medicaid239197526AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harbor House, Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Harbor House, Incorporated, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Mental Health Counselor12
Clinical Social Worker2

Clinicians, nearest first (14)

Mental Health Counselor
NPI 1063833812
101 N 11TH ST APT 242
Fort Smith, AR 72901
(479) 420-5159
✔ PECOS0.6 mi
Mental Health Counselor
NPI 1851877849
3111 S 70TH ST
Fort Smith, AR 72903
(479) 452-6650
✔ PECOS✔ Accepts Medicare3.8 mi
Mental Health Counselor
NPI 1962439133
3111 S 70TH ST
Fort Smith, AR 72903
(479) 452-6650
✔ PECOS✔ Accepts Medicare3.8 mi
Mental Health Counselor
NPI 1750326187
3111 S 70TH ST
Fort Smith, AR 72903
(479) 452-6650
✔ PECOS3.8 mi
Clinical Social Worker
NPI 1053912360
60 W SUNBRIDGE DR
Fayetteville, AR 72703
(479) 695-1240
✔ PECOS✔ Accepts Medicare51 mi
Mental Health Counselor
NPI 1548627565
106 N HILL ST
Clarksville, AR 72830
(479) 431-2050
✔ PECOS53 mi
Mental Health Counselor
NPI 1164131330
111 SE 22ND ST STE 11
Bentonville, AR 72712
(479) 268-3280
✔ PECOS✔ Accepts Medicare67 mi
Mental Health Counselor
NPI 1215079546
618 S KNOXVILLE AVE
Russellville, AR 72801
(479) 346-8340
✔ PECOS73 mi
Mental Health Counselor
NPI 1780987362
3634 CENTRAL AVE STE A
Hot Springs, AR 71913
(501) 547-3763
✔ PECOS✔ Accepts Medicare99 mi
Mental Health Counselor
NPI 1932358751
1058 FRONT ST STE 104
Conway, AR 72032
(501) 504-2092
✔ PECOS✔ Accepts Medicare113 mi
Clinical Social Worker
NPI 1568949899
603 HARKRIDER ST
Conway, AR 72032
(501) 514-0417
✔ PECOS113 mi
Mental Health Counselor
NPI 1366709347
307 E SEVIER ST
Benton, AR 72015
(501) 315-4224
✔ PECOS✔ Accepts Medicare118 mi
Mental Health Counselor
NPI 1811916547
1719 MERRILL DR
Little Rock, AR 72212
(501) 663-2199
✔ PECOS✔ Accepts Medicare121 mi
Mental Health Counselor
NPI 1659450823
703 CALVIN AVERY DR SUITE B
West Memphis, AR 72301
(870) 732-1878
✔ PECOS✔ Accepts Medicare238 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2019190

Harbor House, Inc · Fort Smith, AR
Active · expires Jan 24, 2027
CLIA Number04D2019190
Laboratory TypeDrug Treatment
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorJimmie A. Wooding
Laboratory Phone(479) 752-1083
Laboratory LocationHarbor House, Inc615 North 19th St, Fort Smith, AR 72901
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Harbor House Incorporated Of Fort Smith Arkansas's NPI number?

The NPI number for Harbor House Incorporated Of Fort Smith Arkansas is 1922166123. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Harbor House, Incorporated.

Where is Harbor House Incorporated Of Fort Smith Arkansas located?

Harbor House Incorporated Of Fort Smith Arkansas is located at 615 N 19th St, Fort Smith, AR 72901. The listed phone number is (479) 785-4083.

What is Harbor House Incorporated Of Fort Smith Arkansas's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Harbor House Incorporated Of Fort Smith Arkansas enrolled in Medicare?

Yes. Harbor House Incorporated Of Fort Smith Arkansas is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor House Incorporated Of Fort Smith Arkansas?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Harbor House Incorporated Of Fort Smith Arkansas. A 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 the clinician's services. The largest specialties are Mental Health Counselor (12) and Clinical Social Worker (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Harbor House Incorporated Of Fort Smith Arkansas hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2019190) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harbor House Incorporated Of Fort Smith Arkansas accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Harbor House Incorporated Of Fort Smith Arkansas 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 Harbor House Incorporated Of Fort Smith Arkansas was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.