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Judy Gresham , LPC

Counselor - Professional β€’ Benton, AR

Active NPI 1053540732 Individual Practitioner Female Practitioner
Practice location in NPPES

17680 Interstate 30 N Ste 1
Benton, AR 720192921

Call 5015752344 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17680 Interstate 30 N Ste 1

Benton, AR 720192921

Telephone 5015752344
Fax 5012427009

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Benton and Arkansas

34 active clinicians are listed under Counselor - Professional with a practice address in Benton, AR (1,684 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Benton

2.9% of these 34 clinicians have the CMS telehealth indicator.

35.3% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-11-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES AR P1307081
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location November 04, 2026

Registered at 17680 INTERSTATE 30 N STE 1, BENTON, AR 720192921 (Tel: 5015752344)

πŸ“
Updated Business Mailing Address November 04, 2026

Registered at 17680 INTERSTATE 30 N STE 1, BENTON, AR 720192921 (Tel: 5015752344)

πŸ‘€
Provider Name / Credentials Updated November 04, 2026

Recorded as JUDY GRESHAM, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2026

Counselor (license number reported to NPPES: AR P1307081)

πŸ“
Updated Practice Location July 12, 2021

Registered at 300 N CLIFTON ST, FORDYCE, AR 717423055 (Tel: 8703525122)

πŸ“
Updated Business Mailing Address July 12, 2021

Registered at 300 N CLIFTON ST, FORDYCE, AR 717423055 (Tel: 8703525122)

πŸ‘€
Provider Name / Credentials Updated September 11, 2018

Recorded as JUDY PRINCE, LPC

βœ…
NPI Profile Active June 26, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 26, 2015

Registered at 115 JEFFERSON SW, CAMDEN, AR 71701 (Tel: 8708368888)

πŸ“
Business Mailing Address (Initial Record) June 26, 2015

Registered at 115 JEFFERSON ST SW, CAMDEN, AR 717013945 (Tel: 8708368888)

πŸ‘€
Provider Name / Credentials (Initial Record) June 26, 2015

Recorded as JUDY WILLIAMS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2015

Counselor (license number reported to NPPES: AR P1307081)

🟒
Initial NPI Registration & Enumeration July 02, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053540732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2009
Last Update: November 04, 2026
Sole Proprietor: No

Mailing Address

17680 Interstate 30 N Ste 1

Benton, AR 720192921

Phone: 5015752344

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.