Kacey Matthew Johns, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2510010 Issued in AR

Practice address

2504 McCain Blvd Ste 200
North Little Rock, AR 72116-7612

Phone

(501) 781-2230

NPI assigned

Sep 13, 2022

Last updated

Oct 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

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.

• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1700508009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 BARBER ST",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202981",
            "telephone_number": "870-819-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 MCCAIN BLVD STE 200",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167612",
            "telephone_number": "501-781-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "KACEY",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2510010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JM Mobility, LLC (JM Mobility)
• Joe Lee Buford MD PA
• John Ashley Drive Operating LLC
• John Dean DDS PA
• John Dean, D.D.S., P.a. (Dean Dental Solutions)
• Allison Blake Johnson, LCSW
• Alysha Johnson, COSMETOLOGIST
• Ashley Johnson, PHYSICIAN ASSISTANT
• Ashley Denise Johnson, APRN
• Cheryl R Johnson, OTR/L

• Professional Counselor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.