Individual provider Active NPI

Kristen J Smith, LPC

  • Professional Counselor
  • Conway, AR
National Provider Identifier
1386350551
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2411015 Issued in AR
Practice address
1517 Caldwell St Ste 2
Conway, AR 72034-5240
Phone
(501) 382-8320
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 P2411015 AR Primary

Addresses

Primary practice location

1517 Caldwell St Ste 2
Conway, AR 72034-5240

Mailing address

1517 Caldwell St Ste 2
Conway, AR 72034-5240
Phone (501) 382-8320

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
I20260127002475 AR Practitioner - Mental Health Counselor 3971080466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1517 Caldwell St
Suite 2
Conway, AR 72034-5240
Phone (501) 382-8320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2411015ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Enlightened Counseling PLLC Mental Health CurrentSince Oct 6, 2025 Accepting new patients

Locations

1517 Caldwell St
Ste 2
Conway, AR 72034
Phone (501) 328-8320

515 Oak St
Ste E
Conway, AR 72032
Phone (501) 499-1174

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1386350551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 CALDWELL ST STE 2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345240",
            "telephone_number": "501-382-8320",
            "fax_number": "501-904-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 CALDWELL ST STE 2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345240",
            "telephone_number": "501-382-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2411015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.