Individual provider Active NPI

Kathy Reynolds, LPC

  • Professional Counselor
  • Bentonville, AR
National Provider Identifier
1609043967
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1602019 Issued in AR
Practice address
1002 McClain Rd Ste 108
Bentonville, AR 72712-6739
Phone
(479) 763-3608
NPI assigned
May 14, 2008
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 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 P1602019 AR Primary

Addresses

Primary practice location

1002 McClain Rd Ste 108
Bentonville, AR 72712-6739

Mailing address

1002 McClain Rd Ste 108
Bentonville, AR 72712-6739
Phone (479) 763-3608

Other practice location 1

1707 Linwood Dr Ste B
Paragould, AR 72450-5365
Phone (870) 558-6629

Other practice location 2

1106 W. Poplar Pl.
Rogers, AR 72756
Phone (479) 372-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P1602019ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Strategies Counseling, Inc. PastSince Aug 1, 2020 Accepting new patients
Life Strategies Counseling, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1609043967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MCCLAIN RD STE 108",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126739",
            "telephone_number": "479-763-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MCCLAIN RD STE 108",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126739",
            "telephone_number": "479-763-3608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Linwood Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724505365",
            "country_code": "US",
            "telephone_number": "870-558-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 W. Poplar Pl.",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "72756",
            "country_code": "US",
            "telephone_number": "479-372-6464",
            "fax_number": "479-372-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KATHY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1602019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.