Individual provider Active NPI

Robyn Lea Nelson, M.S., ED.S.

  • Professional Counselor
  • Bentonville, AR
National Provider Identifier
1164927281
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A1605065 Issued in AR
Practice address
1003 SE 14TH St Ste 4
Bentonville, AR 72712-6897
Phone
(479) 903-1988
Fax
(479) 319-6570
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A1605065 AR Primary

Addresses

Primary practice location

1003 SE 14TH St Ste 4
Bentonville, AR 72712-6897

Mailing address

4072 Caerleon Cir
Bentonville, AR 72712-7651
Phone (479) 903-1988

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
I20260422000407 AR Practitioner - Mental Health Counselor 9335589613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 W Sunbrdge Dr
Fayetteville, AR 72703-1822

305 SW 18TH St
Suite 7
Bentonville, AR 72712-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A1605065ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robyn Nelson Counseling, PLLC Professional CurrentSince Feb 14, 2026 Accepting new patients

Locations

305 SW 18th St
Ste 7
Bentonville, AR 72712
Phone (479) 319-6579

1003 SE 14th St
Ste 4
Bentonville, AR 72712
Phone (479) 319-6579

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1164927281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4072 CAERLEON CIR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127651",
            "telephone_number": "479-903-1988",
            "fax_number": "479-319-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SE 14TH ST STE 4",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126897",
            "telephone_number": "479-903-1988",
            "fax_number": "479-319-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROBYN",
        "middle_name": "LEA",
        "credential": "M.S., ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "A1605065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.