ARK VALLEY COUNSELING & SUPERVISION SERVICES, LLC
NPI 1053187468
Counselor - Professional in La Junta, CO
About Ark Valley Counseling & Supervision Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARK VALLEY COUNSELING & SUPERVISION SERVICES, LLC (NPI 1053187468) is a healthcare organization registered as a professional in La Junta, Colorado and active in the NPI registry since November 2023. The organization lists Rayland Laroy Smith, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ark Valley Counseling & Supervision Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ark Valley Counseling & Supervision Services, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Ark Valley Counseling & Supervision Services, LLC's NPI number?
The NPI number for Ark Valley Counseling & Supervision Services, LLC is 1053187468. It was assigned to this organization in the NPPES registry on November 27, 2023.
Where is Ark Valley Counseling & Supervision Services, LLC located?
Ark Valley Counseling & Supervision Services, LLC is located at 24600 County Road 21, La Junta, CO 81050. The listed phone number is (719) 469-2670.
What is Ark Valley Counseling & Supervision Services, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ark Valley Counseling & Supervision Services, LLC enrolled in Medicare?
Yes. Ark Valley Counseling & Supervision Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ark Valley Counseling & Supervision Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Ark Valley Counseling & Supervision Services, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ark Valley Counseling & Supervision Services, LLC was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ark Valley Counseling & Supervision Services, Llc · NPI 1053187468
Professional organization in La Junta, Colorado. Organization record, active in the CMS NPPES registry since November 27, 2023.
## Identity
- **NPI:** 1053187468 (Entity type: Organization)
- **Enumerated:** November 27, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Rayland Smith, OWNER
## Practice location
- **Address:** 24600 COUNTY ROAD 21, La Junta, CO 81050-9765
- **Phone:** (719) 469-2670
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053187468) · Data from the CMS NPPES public registry.