Active NPI
Renee S Walsh, LCSW
- Mental Health Counselor
- Harrison, AR
National Provider Identifier
1851737464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10356-C
- Practice address
- 200 Hwy 43 East Unit #7
Harrison, AR 72601-2166 - Phone
- (870) 280-3468
- Fax
- (870) 280-3469
- NPI assigned
- May 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10356-C | AR | Primary |
Addresses
Primary practice location
200 Hwy 43 East Unit #7
Harrison, AR 72601-2166
Mailing address
P.O. Box 679
Morrilton, AR 72110-0679
Phone (501) 354-4589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224991795 | Medicaid | AR |
Other names 1
- Renee Kyle
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10356-C | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway County Community Service Inc. | Past | Accepting new patients | |
| Conway County Community Service Inc. | Past | Accepting new patients | |
| Conway County Community Service Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Clinton, AR
- NPI 1962637082
-
- Community/Behavioral Health Agency
- Mountain View, AR
- NPI 1255994158
-
- Community/Behavioral Health Agency
- Morrilton, AR
- NPI 1770631467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1851737464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 679",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721100679",
"telephone_number": "501-354-4589",
"fax_number": "501-354-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HWY 43 EAST UNIT #7",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012166",
"telephone_number": "870-280-3468",
"fax_number": "870-280-3469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "RENEE",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "10356-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "224991795",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "KYLE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.