MOM COUNSELING LLC
NPI 1033889001
Community/Behavioral Health in Pine Bluff, AR

Active since September 20, 2021
3322 W 34TH AVE, PINE BLUFF, AR 71603(870) 619-9018 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2025, Sep 27, 2021, Sep 20, 2021 (3 updates tracked since 2021).

About Mom Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOM COUNSELING LLC (NPI 1033889001) is a healthcare organization registered as a community/behavioral health in Pine Bluff, Arkansas and active in the NPI registry since September 2021. The organization lists Nikki Thornton, Owner/licensed Clinical Social Work, as its authorized official.

NPPES Registry Identity

NPI1033889001
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMOM COUNSELING LLC
Location Address3322 W 34TH AVEPine Bluff, AR 71603-5500
Mailing Address3401 W 28th AvePine Bluff, AR 71603 · (870) 619-9018
Organization SubpartNo
Authorized OfficialNikki ThorntonOwner/licensed Clinical Social Work · (870) 619-9018
Enumeration DateSeptember 20, 2021
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1033889001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
3322 W 34TH AVE, Pine Bluff, AR 71603

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mom Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20211001001892Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mom Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1215343207
109 FRANKIE LN
White Hall, AR 71602
(870) 247-3588
✔ PECOS✔ Accepts Medicare6.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mom Counseling LLC's NPI number?

The NPI number for Mom Counseling LLC is 1033889001. It was assigned to this organization in the NPPES registry on September 20, 2021.

Where is Mom Counseling LLC located?

Mom Counseling LLC is located at 3322 W 34th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 619-9018.

What is Mom Counseling LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mom Counseling LLC enrolled in Medicare?

Yes. Mom Counseling LLC is registered in the Medicare PECOS enrollment system.

When is Mom Counseling LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mom Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mom Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mom Counseling LLC was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.