PATRENA D TABRON (B.A, M.H.P.P.) – Mental Health Counselor, NPI 1750590733

PATRENA D TABRON (B.A, M.H.P.P.) is a healthcare provider. based in Little rock, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials B.A, M.H.P.P.. They hold a License No. A1603032 (AR). The NPI Number for PATRENA D TABRON (B.A, M.H.P.P.) is 1750590733

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
PATRENA D TABRON (B.A, M.H.P.P.)
NPI
1750590733
Phone
(501) 686-9300
Address
4400 SHUFFIELD DR
Enumeration Date
22 May 2007
Last Update Date
5 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012211941
Graduation Year
2009 (17 years ago)
PAC ID
3870944812
Group Practice PAC ID
5698801272
Professional Enrollment ID
I20240104000331
Address ID
AR722113794LI11700RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

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Provider Addresses for PATRENA D TABRON (B.A, M.H.P.P.)

  • 4400, Shuffield Drive, Oak Forest, Little Rock, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 722057100

    Phone: (501) 686-9300

    Type: Location

  • Mabelvale Cut Off, Mabelvale, Little Rock, Big Rock Township, Pulaski County, Arkansas, 72103, United States

    LITTLE ROCK, AR 722092370

    Phone: (501) 837-3728

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240104000331IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698801272View full group profile
NameSpecialtyState
Mental Health CounselorAR
Clinical Social WorkerAR
Nurse PractitionerAR
Clinical Social WorkerAR
Mental Health CounselorAR
Clinical Social WorkerAR
-AR
Clinical Social WorkerAR
-AR
P S Y C H I A T R YAR

Reviews

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Frequently asked questions

What federal number belongs to PATRENA D TABRON (B.A, M.H.P.P.)?
The federal identifier for PATRENA D TABRON (B.A, M.H.P.P.) is NPI 1750590733.
Is PATRENA D TABRON (B.A, M.H.P.P.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does PATRENA D TABRON (B.A, M.H.P.P.) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for PATRENA D TABRON (B.A, M.H.P.P.). Clinical services aligned with this taxonomy classification.
Where does public data place PATRENA D TABRON (B.A, M.H.P.P.)?
The snapshot lists Little Rock, Arkansas for PATRENA D TABRON (B.A, M.H.P.P.); download NPPES for the complete set.
Is PATRENA D TABRON (B.A, M.H.P.P.) a real provider?
This page reflects official NPPES data for NPI 1750590733. Always confirm identity and privileges with the practice and licensing boards.

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