Kelli Mayall, LPC in Texarkana, AR - Medicare Counselor Provider

Kelli Mayall, LPC is a medicare enrolled "Counselor - Mental Health" provider in Texarkana, Arkansas. Her current practice location is 4613 Parkway Dr Ste 7, Texarkana, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 330-4095.

Kelli Mayall is licensed to practice in Arkansas (license number A1711325) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952894545.

Contact Information

	Kelli Mayall, LPC
	4613 Parkway Dr Ste 7, Texarkana, AR 71854-1191
	(870) 330-4095
	(844) 706-5741

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Mayall
Gender	Female
Speciality	Counselor - Mental Health
Location	4613 Parkway Dr Ste 7, Texarkana, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952894545
Provider Enumeration Date: 06/08/2018
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 0042662389
Enrollment ID: I20240123000385

Medical Identifiers

Medical identifiers for Kelli Mayall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952894545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A1711325 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelli Mayall allows following entities to bill medicare on her behalf.

Entity Name	Moonbrook Mind & Body Integrative Services Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376173401 PECOS PAC ID: 4284054735 Enrollment ID: O20201021002858

Entity Name	Cornerstone Counseling Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851819544 PECOS PAC ID: 0547665382 Enrollment ID: O20210817003656

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Mayall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelli Mayall, LPC 2726 Highway 19 N, Prescott, AR 71857-7510 Ph: (870) 703-9508	Kelli Mayall, LPC 4613 Parkway Dr Ste 7, Texarkana, AR 71854-1191 Ph: (870) 330-4095

Reviews and Comments

Counselor in Texarkana, AR

Terry Jerome Williams, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2904 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-773-4655 Fax: 870-772-4650
Carlotta A Powell, ADC,CS,PRSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315
Angela Mckinney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028
Anna M Mcbee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7000 N Stateline Ave, Texarkana, AR 71854 Phone: 870-774-1315
George Ramser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-772-5028 Fax: 870-772-5056
Shalundrea Lavaughn Cleveland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705
Rustin Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4323 Jefferson Ave, Texarkana, AR 71854 Phone: 870-773-0700 Fax: 870-773-0705

Kelli Mayall, LPC - Medicare Counselor in Texarkana, AR