Kimberly Evans

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2509015 Issued in AR

Practice address

1125 N Madison Ave
El Dorado, AR 71730-3805

Phone

(870) 725-7001

Fax

(870) 457-8707

NPI assigned

Apr 4, 2023

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• PT Concepts, PLLC

  dba Waters Edge Counseling Play Therapy and Training

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1164931291
  Medicare reassignment NPD
• My Therapy LLC

  • Mental Health Counselor
  • Rogers, AR
  • NPI 1598633091
  NPD (past)
• United Methodist Behavioral Health System, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Magnolia, AR
  • NPI 1457598393
  NPD (past)

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1740985167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563521",
            "telephone_number": "479-621-0301",
            "fax_number": "479-899-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N MADISON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303805",
            "telephone_number": "870-725-7001",
            "fax_number": "870-457-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 E North St",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "AR",
            "postal_code": "717533120",
            "country_code": "US",
            "telephone_number": "870-234-0739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Ripley St",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717308149",
            "country_code": "US",
            "telephone_number": "870-234-0739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2509015",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2302039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Ellis
• Empicare, Inc
• Empowered With Vanessa (Empowered With Vanessa PLC)
• Ess of El Dorado, LLC
• Justin Michael Evans, PHARMD
• Megan Evans, MSN, APRN, FNP-C
• Byron L. Eyre, MD
• Mariah Fairley
• Anna Fairris, PT, DPT
• Family Care of Southern Arkansas, LTD

• Professional Counselor in El Dorado, AR
• Providers in El Dorado, 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 6, 2026; 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.