Individual provider Active NPI

Kayla Gowin, LAC

  • Mental Health Counselor
  • Conway, AR
National Provider Identifier
1437521127
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1611148 Issued in AR
Practice address
2215 E Oak St Ste 1
Conway, AR 72032-4644
Phone
(501) 336-0511
Fax
(501) 336-4037
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1611148 AR Primary

Addresses

Primary practice location

2215 E Oak St Ste 1
Conway, AR 72032-4644

Mailing address

2215 E Oak St Ste 1
Conway, AR 72032-4644
Phone (501) 336-0511

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
I20240412003766 AR Practitioner - Mental Health Counselor 0648626077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Central ArkansasGroup PAC ID 0042612244, 7 clinicians

Practice addresses (Care Compare)

2200 Bruce St
Conway, AR 72034-6108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1611148ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Central Arkansas Current Accepting new patients
University of Central Arkansas Mental Health CurrentSince Feb 13, 2022 Accepting new patients
University of Central Arkansas CurrentSince Jan 27, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1437521127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E OAK ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324644",
            "telephone_number": "501-336-0511",
            "fax_number": "501-336-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E OAK ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324644",
            "telephone_number": "501-336-0511",
            "fax_number": "501-336-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWIN",
        "first_name": "KAYLA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1611148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.