Active NPI
Connie Kelton, LAC
- Mental Health Counselor
- Blevins, AR
National Provider Identifier
1952683773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A0804028
- Practice address
- 5954 Hwy 29 N
Blevins, AR 71825 - Phone
- (870) 874-2282
- Fax
- (870) 874-2284
- NPI assigned
- Sep 19, 2011
- Last updated
- Sep 19, 2011
- 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 | A0804028 | AR | Primary |
Addresses
Primary practice location
5954 Hwy 29 N
Blevins, AR 71825
Mailing address
519 W 3Rd St
Hope, AR 71801-5002
Phone (870) 777-4848
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 |
|---|---|---|---|
| A0804028 | AR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1952683773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 W 3RD ST",
"city": "HOPE",
"state": "AR",
"postal_code": "718015002",
"telephone_number": "870-777-4848",
"fax_number": "870-777-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5954 HWY 29 N",
"city": "BLEVINS",
"state": "AR",
"postal_code": "71825",
"telephone_number": "870-874-2282",
"fax_number": "870-874-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELTON",
"first_name": "CONNIE",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A0804028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blevins, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.