Kristi Lahusen, LPC
Individual provider Active NPI Professional Counselor · Centerton, AR
NPI 1881418366 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1881418366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P2511022 (AR)
- Practice address
- 1071 Boardwalk Ave.
Centerton, AR 72712 - Phone
- (406) 920-6101
- NPI assigned
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1720 S Walton Blvd
Suite 4 Box 208
Bentonville, AR 72712-7533
27 Randolph Rd
Howell, NJ 07731-8611
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251217004807 | AR | Practitioner - Mental Health Counselor | 2860987831 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2511022 | AR | MD | Professional Counselor |
| 0022954 | CO | MD | Professional Counselor |
| 81470 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Psych Care of Arkansas PA | Single Specialty | Current |
Accepting new patients |
| Kestrel Creek Counseling | Professional | Past | Accepting new patients |
| Colorado Innovative Services LLC | Mental Health | Past | Accepting new patients |
Locations
811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 0022954 | CO | |
| Professional Counselor | 101YP2500X | 81470 | MT | |
| Professional Counselor | 101YP2500X | P2511022 | AR | Yes |
Addresses
Primary practice location
1071 Boardwalk Ave.
Centerton, AR 72712
Mailing address
1720 S Walton Blvd Ste 4
#208
Bentonville, AR 72712-7533
Phone (406) 209-1446
Other providers in Centerton, AR
- Jace Jordan Johnson
- M Lucille Kelley
- Kestrel Creek Counseling
- Rose N Kihm
- Stacey Kirk
- Chulyndria Laye
- Kelsey Maloney-Steiner
- Matt McShane DDS PLLC
- Anna Janelle McCraw
- Susan K McGaughey
All providers in Centerton, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.