Individual provider Active NPI

Casey J Myers

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1366709347
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1903039 Issued in AR
Practice address
1701 Centerview Dr Ste 200
Little Rock, AR 72211-4312
Phone
(501) 231-8472
Fax
(501) 833-5012
NPI assigned
Apr 16, 2012
Reactivated
Feb 6, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1903039 AR Primary
Counselor 101Y00000X

Addresses

Primary practice location

1701 Centerview Dr Ste 200
Little Rock, AR 72211-4312

Mailing address

1701 Centerview Dr Ste 200
Little Rock, AR 72211-4312
Phone (501) 208-1223

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
I20241126001425 AR Practitioner - Mental Health Counselor 1951836006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor House Incorporated of Fort Smith Arkansas CurrentSince Sep 15, 2024 Accepting new patients
Counseling Clinic, Inc. Past Accepting new patients

Locations

1055 Sunflower Dr
Ste 104
Conway, AR 72034
Phone (501) 431-0075

620 S 21st St
Fort Smith, AR 72901
Phone (479) 395-1599

1200 W Walnut St
Rogers, AR 72756
Phone (479) 631-9996

Organizations & group practices 2

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.

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
Harbor House Incorporated of Fort Smith Arkansas 8 clinicians

Practice addresses (Care Compare)

1055 Sunflower Dr
Suite 104
Conway, AR 72034-3651
Phone (479) 785-4083

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1366709347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CENTERVIEW DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114312",
            "telephone_number": "501-208-1223",
            "fax_number": "501-833-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CENTERVIEW DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114312",
            "telephone_number": "501-231-8472",
            "fax_number": "501-833-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CASEY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "deactivation_date": "2026-02-02",
        "reactivation_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1903039",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.