SIMPLE SOUL COUNSELING SERVICES LLC
NPI 1164144812
Clinic/Center - Mental Health (Including Community Mental Health Center) in Harrison, AR
About Simple Soul Counseling Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMPLE SOUL COUNSELING SERVICES LLC (NPI 1164144812) is a healthcare organization registered as a mental health (including community mental health center) in Harrison, Arkansas and active in the NPI registry since September 2022. The organization lists Acacia Lynette Johnson, Therapist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Simple Soul Counseling Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Simple Soul Counseling Services LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
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 Simple Soul Counseling Services LLC's NPI number?
The NPI number for Simple Soul Counseling Services LLC is 1164144812. It was assigned to this organization in the NPPES registry on September 19, 2022.
Where is Simple Soul Counseling Services LLC located?
Simple Soul Counseling Services LLC is located at 303 W Newman Ave, Harrison, AR 72601. The listed phone number is (870) 204-5640.
What is Simple Soul Counseling Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Simple Soul Counseling Services LLC enrolled in Medicare?
Yes. Simple Soul Counseling Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Simple Soul Counseling Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Simple Soul Counseling Services LLC. 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. The largest specialties are Clinical Social Worker (8), Mental Health Counselor (6) and Marriage and Family Therapist (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Simple Soul Counseling Services LLC was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Simple Soul Counseling Services Llc · NPI 1164144812
Mental Health (Including Community Mental Health Center) organization in Harrison, Arkansas. Organization record, active in the CMS NPPES registry since September 19, 2022.
## Identity
- **NPI:** 1164144812 (Entity type: Organization)
- **Enumerated:** September 19, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Acacia Johnson, THERAPIST/OWNER
## Practice location
- **Address:** 303 W NEWMAN AVE, Harrison, AR 72601-5839
- **Phone:** (870) 204-5640 · **Fax:** (870) 204-5306
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (8), Mental Health Counselor (6), Marriage and Family Therapist (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1164144812) · Data from the CMS NPPES public registry.