NPIMap

Organization Active NPI

Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Russellville, AR
National Provider Identifier
1649381120
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNSELING ASSOCIATES INC
Practice address
110 Skyline Drive
Russellville, AR 72801
Phone
(479) 968-1298
Fax
(479) 968-6053
NPI assigned
Aug 31, 2006
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Kelly Bunch
Title
Credentialing Director
Phone
(479) 725-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X AR

Addresses

Primary practice location

110 Skyline Drive
Russellville, AR 72801

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 967-5570

Other practice location 1

316 Highway 65 N
Marshall, AR 72650-7863
Phone (870) 448-2179

Other practice location 2

8 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 354-1561

Other practice location 3

1402 E 16th St
Russellville, AR 72802-2648
Phone (479) 890-3045

Other practice location 4

207 W Main St
Heber Springs, AR 72543-3014
Phone (501) 206-0831

Other practice location 5

106 Mountain Place Dr
Mountain View, AR 72560-6800
Phone (870) 269-4193

Other practice location 6

1021 E Poplar St
Clarksville, AR 72830-4428
Phone (479) 754-8610

Other practice location 7

350 Salem Rd Ste 1
Conway, AR 72034-6166
Phone (501) 336-8300

Other practice location 8

244 Highway 65 N Ste 6
Clinton, AR 72031-6677
Phone (501) 745-8007

Other practice location 9

206 W Main Street
Perryville, AR 72126
Phone (501) 889-1590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000417 AR Part B Supplier - Clinic/Group Practice 3173583564 Receives reassigned benefits from 71 practitioners
2 other NPIs on this enrollment
Practice locations: Russellville, AR; Conway, AR; Mountain View, AR; Morrilton, AR; Marshall, AR; Heber Springs, AR; Clinton, AR; Clarksville, AR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Linda J Martin19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

350 Salem Rd
Ste 1
Conway, AR 72034
Phone (501) 336-8300

207 W Main St
Heber Springs, AR 72543
Phone (501) 206-0831

1402 E 16th St
Russellville, AR 72802
Phone (479) 890-3045

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1649381120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-967-5570",
            "fax_number": "479-890-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SKYLINE DRIVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-968-1298",
            "fax_number": "479-968-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Highway 65 N",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "AR",
            "postal_code": "726507863",
            "country_code": "US",
            "telephone_number": "870-448-2179",
            "fax_number": "870-448-2039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Morrilton",
            "state": "AR",
            "postal_code": "721104510",
            "country_code": "US",
            "telephone_number": "501-354-1561",
            "fax_number": "501-354-1564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 E 16th St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728022648",
            "country_code": "US",
            "telephone_number": "479-890-3045",
            "fax_number": "479-968-6053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W Main St",
            "address_purpose": "LOCATION",
            "city": "Heber Springs",
            "state": "AR",
            "postal_code": "725433014",
            "country_code": "US",
            "telephone_number": "501-206-0831",
            "fax_number": "501-206-0865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Mountain Place Dr",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "AR",
            "postal_code": "725606800",
            "country_code": "US",
            "telephone_number": "870-269-4193",
            "fax_number": "870-296-4199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 E Poplar St",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "AR",
            "postal_code": "728304428",
            "country_code": "US",
            "telephone_number": "479-754-8610",
            "fax_number": "479-754-8788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Salem Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720346166",
            "country_code": "US",
            "telephone_number": "501-336-8300",
            "fax_number": "501-329-5508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "244 Highway 65 N Ste 6",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "AR",
            "postal_code": "720316677",
            "country_code": "US",
            "telephone_number": "501-745-8007",
            "fax_number": "501-745-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 W Main Street",
            "address_purpose": "LOCATION",
            "city": "Perryville",
            "state": "AR",
            "postal_code": "72126",
            "country_code": "US",
            "telephone_number": "501-889-1590",
            "fax_number": "501-889-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "479-725-5115"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.