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Matthew Ryan Keller , LPC

Counselor - Professional β€’ Ash Flat, AR

Active NPI 1962742569 Individual Practitioner Male Practitioner
Practice location in NPPES

75 Hwy 62/4 12, Suite J
Ash Flat, AR 725139629

Call 8709947060 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

75 Hwy 62/4 12
Suite J

Ash Flat, AR 725139629

Telephone 8709947060
Fax 8709947063
Organization at the Same NPPES Address or Phone
Families, Inc Of Arkansas Facility NPI 1174613939

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ash Flat and Arkansas

5 active clinicians are listed under Counselor - Professional with a practice address in Ash Flat, AR (1,637 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES AR P1511123
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
191202795 (AR)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location May 23, 2017

Registered at 75 HWY 62/4 12, SUITE J, ASH FLAT, AR 725139629 (Tel: 8709947060)

πŸ“
Updated Business Mailing Address May 23, 2017

Registered at 1815 PLEASANT GROVE RD, JONESBORO, AR 724017870 (Tel: (870) 933-6886)

πŸ‘€
Provider Name / Credentials Updated May 23, 2017

Recorded as MATTHEW KELLER, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Counselor (license number reported to NPPES: AR P1511123)

βœ…
NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 13, 2016

Registered at 1340 S WALDRON RD, FORT SMITH, AR 729032556 (Tel: 4794525040)

πŸ“
Business Mailing Address (Initial Record) December 13, 2016

Registered at PO BOX 23070, BARLING, AR 729230070 (Tel: 4794525040)

πŸ‘€
Provider Name / Credentials (Initial Record) December 13, 2016

Recorded as MATTHEW KELLER, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Counselor (license number reported to NPPES: AR P1511123)

🟒
Initial NPI Registration & Enumeration February 20, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962742569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2013
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1815 Pleasant Grove Rd

Jonesboro, AR 724017870

Phone: 8709336886

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.