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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: October 25, 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
Phone(479) 452-6650
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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 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.

Medicare Billing Reassignment

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

Grow Healthcare Group PA
1,069 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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.

KAREN MCGREW LPN
Licensed Practical Nurse
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
STAR HARBOTTLE LAC
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JOHN AWBREY
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JENEFER JUAREZ
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
HAYLIE J WILSON
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JOHN HOCKADAY
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
DR. KRISTEN W ECKELHOFF PSYD
Psychologist (Clinical)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
MS. DINORA MORALES REYES LPC
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650

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.

Which organization bills Medicare for Clayton Connelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Connelly reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Clayton Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Connelly accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.