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MRS. KAITLIN STOBER CCTP, LPC
NPI 1083112718
Counselor - Mental Health in Jonesboro, AR

Active since January 29, 2018PECOS Enrolled
1900 STILLWATER DR, JONESBORO, AR 72404(870) 932-3600 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kaitlin Stober Cctp, Lpc NPPES

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

MRS. KAITLIN STOBER CCTP, LPC (NPI 1083112718) is an individual mental health provider in Jonesboro, Arkansas, licensed in Arkansas (P2009082) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083112718
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KAITLIN STOBERCredential: CCTP, LPC
Location Address1900 STILLWATER DRJonesboro, AR 72404-9119
Mailing Address400 Virginia CirForrest City, AR 72335-2531 · (870) 635-7596
Phone(870) 932-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 29, 2018
Last NPPES UpdateSeptember 30, 2020
NPPES CertifiedSeptember 30, 2020
✔ NPI 1083112718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · P2009082
1900 STILLWATER DR, Jonesboro, AR 72404
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kaitlin Stober Cctp, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850850819
PECOS Enrollment IDI20260828004592
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.

Medicare Billing Reassignment

Medicare enrollment records show Kaitlin Stober reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chenal Family Therapy, Plc
118 mi
Mental Health
10311 W MARKHAM ST
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 94 clinicians in this Medicare group
NPI 1356604219 (501) 781-2230

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

Other Providers at the Same Location NPPES 20

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

SAMANTHA BROOKE CARMICHAEL
Occupational Therapy Assistant
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
PAULA LONG
Day Training/Habilitation Specialist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
JENNIFER CLARK GARDNER OTR/L
Occupational Therapist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
JAMY COUSINS MS, OTR/L
Occupational Therapist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
MRS. SHANDA DESHA ROGERS P.T.
Physical Therapist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
JACQUELYN BURKE
Day Training/Habilitation Specialist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
XEE LEE
Day Training/Habilitation Specialist
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600
MRS. AMY ELIZABETH FORD P.T.
Physical Therapist (Pediatrics)
1900 STILLWATER DR
JONESBORO, AR 72404
Craighead County (870) 932-3600

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 Kaitlin Stober's NPI number?

The NPI number for Kaitlin Stober is 1083112718. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Kaitlin Stober located?

Kaitlin Stober practices at 1900 Stillwater Dr, Jonesboro, AR 72404. The listed phone number is (870) 932-3600.

What is Kaitlin Stober's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kaitlin Stober enrolled in Medicare?

Yes. Kaitlin Stober is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlin Stober's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Stober reassigns Medicare benefits to Chenal Family Therapy, Plc (Little Rock, AR). The 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 Kaitlin Stober's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlin Stober accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Kaitlin Stober 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 Kaitlin Stober was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.