CLAYTON CONNELLY LPC
NPI 1093091167
Counselor - Professional in Fort Smith, AR

Active since November 02, 2011PECOS EnrolledAccepts Medicare Assignment
3111 S 70TH ST, FORT SMITH, AR 72903(479) 452-6650(479) 452-5847 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clayton Connelly Lpc NPPES

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

CLAYTON CONNELLY LPC (NPI 1093091167) is an individual professional provider in Fort Smith, Arkansas, licensed in Arkansas (P1607064) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093091167
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCLAYTON CONNELLYCredential: LPC
Location Address3111 S 70TH STFort Smith, AR 72903-5017
Mailing AddressPo Box 11818Fort Smith, AR 72917-1818 · (479) 452-6650 · Fax (479) 452-5847
Fax(479) 452-5847
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 2, 2011
Last NPPES UpdateAugust 2, 2016
NPI 1093091167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · P1607064
3111 S 70TH ST, Fort Smith, AR 72903

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clayton Connelly Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456702257
PECOS Enrollment IDI20240429002011
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 20

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

Licensed Practical Nurse
3111 S 70TH ST
FORT SMITH, AR 72903
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Psychologist (Clinical)
3111 S 70TH ST
FORT SMITH, AR 72903
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903

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 Clayton Connelly's NPI number?

The NPI number for Clayton Connelly is 1093091167. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Clayton Connelly located?

Clayton Connelly practices at 3111 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 452-6650.

What is Clayton Connelly's specialty?

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

Is Clayton Connelly enrolled in Medicare?

Yes. Clayton Connelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clayton Connelly accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Clayton Connelly 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 Clayton Connelly was last updated on August 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.