Active NPI
Kellie Hogue
- Professional Counselor
- Conway, AR
National Provider Identifier
1922992379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2503002
- Practice address
- 1105 Deer St Ste 9
Conway, AR 72032-5450 - Phone
- (501) 505-4020
- NPI assigned
- Jun 9, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2503002 | AR | Primary |
Addresses
Primary practice location
1105 Deer St Ste 9
Conway, AR 72032-5450
Mailing address
1129 Scenic PL
Heber Springs, AR 72543-2108
Other names 1
- Kellie Johnson
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 |
|---|---|---|---|
| P2503002 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1922992379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 SCENIC PL",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725432108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 DEER ST STE 9",
"city": "CONWAY",
"state": "AR",
"postal_code": "720325450",
"telephone_number": "501-505-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGUE",
"first_name": "KELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2503002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLIE",
"last_name": "JOHNSON",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.