Individual provider Active NPI

Kayla McCoy, LMSW

  • Social Worker
  • Beebe, AR
National Provider Identifier
1831923697
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26475-M Issued in AR
Practice address
106 N Pecan St
Beebe, AR 72012-2524
Phone
(501) 232-2600
Fax
(501) 242-0820
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26475-M AR Primary

Addresses

Primary practice location

106 N Pecan St
Beebe, AR 72012-2524

Mailing address

106 N Pecan St
Beebe, AR 72012-2524
Phone (501) 232-2600

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
26475-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Within Counseling Group, LLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

106 N Pecan St
Beebe, AR 72012
Phone (501) 232-2600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1831923697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N PECAN ST",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720122524",
            "telephone_number": "501-232-2600",
            "fax_number": "501-242-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N PECAN ST",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720122524",
            "telephone_number": "501-232-2600",
            "fax_number": "501-242-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KAYLA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "26475-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beebe, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.