Ashley Mozelle McKenzie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9395-C Issued in AR

Practice address

1620 S 46TH St
Fort Smith, AR 72903-3129

Phone

(479) 494-7889

Fax

(479) 494-7890

NPI assigned

Apr 14, 2019

Sex

Female

Sole proprietor

Yes

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.

• Western Arkansas Counseling & Guidance Center, Inc

  • Community/Behavioral Health Agency
  • Fort Smith, AR
  • NPI 1326040692

  AR

  Medicare reassignment Care Compare group NPD
• The Guidance Center - New Center

  • Community/Behavioral Health Agency
  • Fort Smith, AR
  • NPI 1790950913
  NPD
• The Guidance Center - Whole Health

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1730787037
  NPD

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Western Arkansas Counseling and Guidance Center, Inc 61 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2022.

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1669935870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22367 WITTE FALLS LN",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749537801",
            "telephone_number": "918-839-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S 46TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033129",
            "telephone_number": "479-494-7889",
            "fax_number": "479-494-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 N B St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729013210",
            "country_code": "US",
            "telephone_number": "479-494-7000",
            "fax_number": "479-494-1835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "ASHLEY",
        "middle_name": "MOZELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "9395-M",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9395-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Deandre McKay-Williams
• Marin McKee
• Tyler Daniel McKee, DPM
• Matthew Ryan McKeever, M.D.
• Kandy McKellar, LPC
• Jesse McKenzie, NP
• Mary E McKinley, PT
• Ashley Nicole McKinney, APRN
• Jonathan McKinney, QBHP
• Marcie Vanasche McKinney, D.D.S., P.A.

• All providers in Fort Smith, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.