Active NPI
Kalayah Anderson, LPC
- Mental Health Counselor
- Hot Springs, AR
National Provider Identifier
1194179366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P1912146
- Practice address
- 125 Wellness Way
Hot Springs, AR 71913-6478 - Phone
- (501) 624-7111
- Fax
- (501) 620-5109
- NPI assigned
- Apr 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P1912146 | AR | Primary |
Addresses
Primary practice location
125 Wellness Way
Hot Springs, AR 71913-6478
Mailing address
125 Wellness Way
Hot Springs, AR 71913-6478
Phone (501) 624-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222860795 | Medicaid | AR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213001519 | AR | Practitioner - Mental Health Counselor | 7517315427 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Wellness Way
Hot Springs, AR 71913-6478
Phone (501) 624-7111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1912146 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ouachita Regional Counseling and Mental Health Center, Inc. | Current | Accepting new patients | |
| Ouachita Regional Counseling & Mental Health Center, Inc. | Current | Accepting new patients | |
| Living Hope Southeast, LLC | Mental Health | Past | Accepting new patients |
Locations
125 Wellness Way
Hot Springs National Park, AR 71913
Phone (501) 620-5231
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/lhsoutheast/r4/
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hot Springs, AR
- NPI 1821087123
AR
-
- Community/Behavioral Health Agency
- Benton, AR
- NPI 1780440305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1194179366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WELLNESS WAY",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136478",
"telephone_number": "501-624-7111",
"fax_number": "501-620-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WELLNESS WAY",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136478",
"telephone_number": "501-624-7111",
"fax_number": "501-620-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KALAYAH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1912146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222860795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.