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Active NPI 1861594483 Individual Practitioner Male Practitioner

Rickey Etheridge , LPC

Counselor - Professional • Bryant, AR

Professional Overview & Biography Verified Profile Summary

Rickey Etheridge, LPC is a certified Counselor - Professional practicing in Bryant, AR. With approximately 21 years of clinical experience since completing medical education in 2005, Rickey Etheridge delivers high-quality medical care to the local community at 3348 MAIN ST STE 100.

Rickey Etheridge does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3348 Main St Ste 100

Bryant, AR 720225013

Telephone 5014433824
Fax 5015211001
Associated Practice Facility / Clinic
🏢 Kristin N Kiernan Aprn Pllc Facility NPI 1023899309

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bryant, AR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs -3.8 yrs vs City Avg
City Avg: 24.8 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Bryant, AR (1670 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Etheridge (21 Years) 21 Yrs
Bryant Specialty Average (24.8 Years) 24.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
15 15 $267.12 $117.42

Medical Specialties & State Licenses

CMS Verified: 2024-11-20
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AR P0907039

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License AR P0907039

Definition to come...

Secondary Practice Locations

11501 Huron Ln Ste 5

Little Rock, AR 722112491

Phone: 5019044762

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Michael Hodnett , LCSW

Social Worker - Clinical

NPI 1043201254

Licensed Clinical Social Worker

Dr. Jennifer Price , DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366990343

Doctor of Nursing Practice

Dr. Dawn Lindsey , DNP, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1508216300

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Kristin Kiernan

Nurse Practitioner - Psychiatric/Mental Health

NPI 1508644402
Charles Baird , LPC

Counselor - Professional

NPI 1538222112

Licensed Professional Counselor

Jeffrey Kemper , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1891561247

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location November 20, 2024

Registered at 3348 MAIN ST STE 100, BRYANT, AR 720225013 (Tel: 5014433824)

📍
Updated Business Mailing Address November 20, 2024

Registered at 3348 MAIN ST STE 100, BRYANT, AR 720225013 (Tel: 5014433824)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2024

Counselor (License #P0907039 in AR)

📍
Updated Practice Location April 26, 2024

Registered at 11501 HURON LN STE 5, LITTLE ROCK, AR 722112491 (Tel: 5019044762)

📍
Updated Practice Location November 10, 2021

Registered at 125 WELLNESS WAY, HOT SPRINGS, AR 719136478 (Tel: 5016247111)

📍
Updated Business Mailing Address November 10, 2021

Registered at 125 WELLNESS WAY, HOT SPRINGS, AR 719136478 (Tel: 5016247111)

📍
Updated Practice Location September 06, 2019

Registered at 400 HARDIN RD STE 150, LITTLE ROCK, AR 722113507 (Tel: 5016032147)

📍
Updated Business Mailing Address September 06, 2019

Registered at 400 HARDIN RD STE 150, LITTLE ROCK, AR 722113507 (Tel: 5016032147)

📍
Updated Practice Location April 23, 2019

Registered at 2607 CADDO ST STE 6, ARKADELPHIA, AR 719235307 (Tel: 8702308217)

📍
Updated Business Mailing Address April 23, 2019

Registered at 2607 CADDO ST STE 6, ARKADELPHIA, AR 719235307 (Tel: 8702308217)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2019

Counselor (License #P0907039 in AR)

NPI Profile Active October 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2013

Registered at 10025 W MARKHAM ST, SUITE 210, LITTLE ROCK, AR 722051407 (Tel: 5016635473)

📍
Updated Business Mailing Address October 03, 2013

Registered at 10025 W MARKHAM ST, SUITE 210, LITTLE ROCK, AR 722051407 (Tel: 5016635473)

👤
Provider Name / Credentials Updated October 03, 2013

Recorded as RICKEY ETHERIDGE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2013

Counselor (License #A0509072 in AR)

🟢
Initial NPI Registration & Enumeration September 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861594483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2006
Last Update: November 20, 2024
Sole Proprietor: Yes

Mailing Address

3348 Main St Ste 100

Bryant, AR 720225013

Phone: 5014433824

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.