Mary Caitlin Conner, MS, LAC, AADC, LADAC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1515 Old Highway 124
Russellville, AR 72802-4014

Phone

(479) 264-5299

NPI assigned

Apr 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Restored Life Services of Arkansas Inc

  • Addiction (Substance Use Disorder) Counselor
  • Russellville, AR
  • NPI 1558727024
  NPD Authorized official
• Arvac, Inc.

  dba Lake Point Recovery and Wellness

  • Substance Abuse Rehabilitation Facility
  • Russellville, AR
  • NPI 1063551265
  NPD (past)

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1023405933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 OLD HIGHWAY 124",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728024014",
            "telephone_number": "479-264-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 OLD HIGHWAY 124",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728024014",
            "telephone_number": "479-264-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "MARY",
        "middle_name": "CAITLIN",
        "credential": "MS, LAC, AADC, LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2604014",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "530L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Collette
• Christian Collier, RECOVERY ASSISTANT
• Robert Collins, CASE MANAGER PARAPRO
• Community Service, Inc
• Moriah Conkin, RECOVERY ASSISTANT
• Conway County Community Service Inc.
• Conway County Community Service Inc.
• Conway Regional Medical Center, Inc (Conway Regional Medical Clinic-Russellville)
• Matthew Cook, PTA
• Pamela L Cook

• Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.