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MISS CARISSA JENNIE GILL LPC
NPI 1053786004
Counselor - Professional in Little Rock, AR

Active since December 02, 2015PECOS Enrolled
10025 W. MARKHAM STREET, STE 210, LITTLE ROCK, AR 72205(501) 663-5473(501) 801-1816 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Dec 15, 2017, Dec 2, 2015 (3 updates tracked since 2015).

About Miss Carissa Jennie Gill Lpc NPPES

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

MISS CARISSA JENNIE GILL LPC (NPI 1053786004) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (P2006022) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053786004
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS CARISSA JENNIE GILLCredential: LPC
Location Address10025 W. MARKHAM STREET, STE 210Little Rock, AR 72205-2178
Mailing Address10025 W. Markham Street, Ste 210Little Rock, AR 72205-2178 · (501) 663-5473 · Fax (501) 801-1816
Phone(501) 663-5473
Fax(501) 801-1816
Sole ProprietorYes
Enumeration DateDecember 2, 2015
Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1053786004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2006022
Also ListedCounselorTaxonomy 101Y00000X · License A1511157 (AR)
10025 W. MARKHAM STREET, Little Rock, AR 72205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Carissa Jennie Gill Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN CLARK PH.D.
Psychologist
10025 W. MARKHAM STREET, STE 210
LITTLE ROCK, AR 72205
Pulaski County (501) 663-4673
DOMINIK D MORTON LCSW
Social Worker (Clinical)
10025 W. MARKHAM STREET, STE 210
LITTLE ROCK, AR 72205
Pulaski County (501) 663-5473
ASHLEY TAYLOR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10025 W. MARKHAM STREET, STE 210
LITTLE ROCK, AR 72205
Pulaski County (501) 663-5473
HOLLY MARTIN LCSW
Social Worker (Clinical)
10025 W. MARKHAM STREET, STE 210
LITTLE ROCK, AR 72205
Pulaski County (501) 663-5473
SHANNON M CENTERS PLMSW
Social Worker
10025 W. MARKHAM STREET, STE 210
LITTLE ROCK, AR 72205
Pulaski County (501) 663-5473
HEATHER HOLLIS QBHP
Case Manager/Care Coordinator
10025 W. MARKHAM STREET, STE 210
LITTLE ROCK, AR 72205
Pulaski County (501) 663-5473

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 Carissa Gill's NPI number?

The NPI number for Carissa Gill is 1053786004. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Where is Carissa Gill located?

Carissa Gill practices at 10025 W. Markham Street Ste 210, Little Rock, AR 72205. The listed phone number is (501) 663-5473.

What is Carissa Gill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carissa Gill enrolled in Medicare?

Yes. Carissa Gill is registered in the Medicare PECOS enrollment system.

What insurance does Carissa Gill accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Carissa Gill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carissa Gill was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.