THERAPY ASSESSMENT CENTER, LLC
NPI 1093184210
Psychologist - Group Psychotherapy in Conway, AR
About Therapy Assessment Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERAPY ASSESSMENT CENTER, LLC (NPI 1093184210) is a healthcare organization registered as a group psychotherapy in Conway, Arkansas and active in the NPI registry since September 2015. The organization maintains a secondary practice location in Conway and lists Samantha Sewell Short, Licensed Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Therapy Assessment Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Therapy Assessment Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Therapy Assessment Center, LLC's NPI number?
The NPI number for Therapy Assessment Center, LLC is 1093184210. It was assigned to this organization in the NPPES registry on September 17, 2015.
Where is Therapy Assessment Center, LLC located?
Therapy Assessment Center, LLC is located at 317 Oak St Ste 3, Conway, AR 72032. The listed phone number is (501) 291-3091.
What is Therapy Assessment Center, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.
Is Therapy Assessment Center, LLC enrolled in Medicare?
Yes. Therapy Assessment Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Therapy Assessment Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Therapy Assessment Center, LLC, in Clinical Psychologist, Mental Health Counselor and Nurse Practitioner. 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, 3 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 Therapy Assessment Center, LLC was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Therapy Assessment Center, Llc · NPI 1093184210
Group Psychotherapy organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since September 17, 2015.
## Identity
- **NPI:** 1093184210 (Entity type: Organization)
- **Enumerated:** September 17, 2015
- **Primary specialty:** Psychologist - Group Psychotherapy · taxonomy 103TP2701X
- **Organization subpart:** No
- **Authorized official:** Samantha Short, LICENSED PSYCHOLOGIST
## Practice location
- **Address:** 317 OAK ST STE 3, Conway, AR 72032
- **Phone:** (501) 291-3091 · **Fax:** (501) 588-0484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (2), Mental Health Counselor (1), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1093184210) · Data from the CMS NPPES public registry.