Individual provider Active NPI

Kristi Lahusen, LPC

  • Professional Counselor
  • Centerton, AR
National Provider Identifier
1881418366
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2511022 Issued in AR
Practice address
1071 Boardwalk Ave.
Centerton, AR 72712
Phone
(406) 920-6101
NPI assigned
Nov 12, 2024
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0022954 CO
Professional Counselor 101YP2500X 81470 MT
Professional Counselor 101YP2500X P2511022 AR Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251217004807 AR Practitioner - Mental Health Counselor 2860987831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2511022ARMDProfessional Counselor
0022954COMDProfessional Counselor
81470MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Psych Care of Arkansas PA Single Specialty CurrentSince Nov 18, 2025 Accepting new patients
Colorado Innovative Services LLC Mental Health Past Accepting new patients
Kestrel Creek Counseling Professional 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1881418366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S WALTON BLVD STE 4",
            "address_2": "#208",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127533",
            "telephone_number": "406-209-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 BOARDWALK AVE.",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "406-920-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHUSEN",
        "first_name": "KRISTI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0022954",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "81470",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2511022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerton, AR

Sources for this page

Verify at the official NPI Registry.