GLENN MCCRACKEN
NPI 1114222932
Counselor - Professional in Little Rock, AR

Active since January 26, 2011PECOS Enrolled
1202 MAIN ST STE 204, LITTLE ROCK, AR 72202(501) 428-3217 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Apr 25, 2019 (2 updates tracked since 2019).

About Glenn Mccracken NPPES

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

GLENN MCCRACKEN (NPI 1114222932) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (P1806075) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114222932
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameGLENN MCCRACKEN
Location Address1202 MAIN ST STE 204Little Rock, AR 72202-5057
Mailing Address1324b Main StLittle Rock, AR 72202-5034 · (501) 428-3217
Sole ProprietorNo
Enumeration DateJanuary 26, 2011
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1114222932 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 · P1806075
1202 MAIN ST STE 204, Little Rock, AR 72202

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Mccracken 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.

Medicare Billing Reassignment

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

Professional
1202 MAIN ST STE 204
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 7 clinicians in this Medicare group

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

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

Counselor (Professional)
1202 MAIN ST STE 204
LITTLE ROCK, AR 72202

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 Glenn Mccracken's NPI number?

The NPI number for Glenn Mccracken is 1114222932. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Where is Glenn Mccracken located?

Glenn Mccracken practices at 1202 Main St Ste 204, Little Rock, AR 72202. The listed phone number is (501) 428-3217.

What is Glenn Mccracken's specialty?

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

Is Glenn Mccracken enrolled in Medicare?

Yes. Glenn Mccracken is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glenn Mccracken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Mccracken reassigns Medicare benefits to Sparkfit Community Inc (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 Glenn Mccracken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenn Mccracken 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 Glenn Mccracken 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 Glenn Mccracken was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.