Individual provider Active NPI

Kristen W Eckelhoff, PSYD

  • Clinical Psychologist
  • Fort Smith, AR
National Provider Identifier
1003901604
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
07-29P Issued in AR
Practice address
3111 S 70TH St
Fort Smith, AR 72903-5017
Phone
(479) 452-6650
Fax
(479) 452-5847
NPI assigned
Oct 3, 2006
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 07-29P AR Primary

Addresses

Primary practice location

3111 S 70TH St
Fort Smith, AR 72903-5017

Mailing address

3111 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

Other names 1

  • Kristen King Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000600 AR Practitioner - Clinical Psychologist 6103827696 Reassigns benefits to 2 organizations
Practice locations: Barling, AR; Fort Smith, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Oaks Arkansas, LLCGroup PAC ID 9638232622, 4 clinicians

Practice addresses (Care Compare)

2455 N Lowell Rd
Springdale, AR 72764-1844
Phone (479) 756-9000

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07-29PARMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Arkansas, LLC Clinical CurrentSince Oct 1, 2024 Accepting new patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients
The Guidance Center - Whole Health CurrentSince Jun 1, 2021 Accepting new patients
The Guidance Center - Paris Clinic CurrentSince Jun 1, 2021 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc Past Accepting new patients
Eckelhoff Psychology Clinical PastSince Aug 19, 2012 Accepting new patients

Locations

174 N Welsh Ave
Booneville, AR 72927
Phone (479) 675-3909

311 S Central St
Clarksville, AR 72830
Phone (479) 754-0277

3109 S 70th St
Fort Smith, AR 72903
Phone (479) 452-9490

3111 S 70th St
Fort Smith, AR 72903

3113 S 70th St
Fort Smith, AR 72903
Phone (479) 478-6664

418 S 17th St
Fort Smith, AR 72901
Phone (479) 478-6664

307 Cherry St
Mena, AR 71953
Phone (479) 394-5277

415 S 6th St
Paris, AR 72855
Phone (479) 963-2140

2455 N Lowell Rd
Springdale, AR 72764
Phone (479) 756-9000

2705B Oak Ln
Van Buren, AR 72956
Phone (479) 471-5950

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1003901604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 S 70TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035017",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S 70TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035017",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKELHOFF",
        "first_name": "KRISTEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "07-29P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KING",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.