KENJARVIS CROSS LCSW
NPI 1184078875
Social Worker - Clinical in Blytheville, AR

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
209 S LOCKARD ST, BLYTHEVILLE, AR 72315(870) 763-2139 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenjarvis Cross Lcsw NPPES

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

KENJARVIS CROSS LCSW (NPI 1184078875) is an individual clinical provider in Blytheville, Arkansas, licensed in Arkansas (8109-C) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184078875
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKENJARVIS CROSSCredential: LCSW
Location Address209 S LOCKARD STBlytheville, AR 72315-2541
Mailing Address209 S Lockard StBlytheville, AR 72315-2541 · (870) 763-2139
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1184078875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in AR · 8109-C
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

209 S LOCKARD ST, Blytheville, AR 72315

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

Kenjarvis Cross Lcsw 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 ID2163805714
PECOS Enrollment IDI20220816000280
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Community/Behavioral Health
209 S LOCKARD ST
BLYTHEVILLE, AR 72315
Family Medicine
209 S LOCKARD ST
BLYTHEVILLE, AR 72315
Case Manager/Care Coordinator
209 S LOCKARD ST
BLYTHEVILLE, AR 72315
Case Manager/Care Coordinator
209 S LOCKARD ST
BLYTHEVILLE, AR 72315
Social Worker (Clinical)
209 S LOCKARD ST
BLYTHEVILLE, AR 72315
Social Worker
209 S LOCKARD ST
BLYTHEVILLE, AR 72315
Licensed Practical Nurse
209 S LOCKARD ST
BLYTHEVILLE, AR 72315
Psychiatry & Neurology (Psychiatry)
209 S LOCKARD ST
BLYTHEVILLE, AR 72315

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 Kenjarvis Cross's NPI number?

The NPI number for Kenjarvis Cross is 1184078875. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Kenjarvis Cross located?

Kenjarvis Cross practices at 209 S Lockard St, Blytheville, AR 72315. The listed phone number is (870) 763-2139.

What is Kenjarvis Cross's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kenjarvis Cross enrolled in Medicare?

Yes. Kenjarvis Cross 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 Kenjarvis Cross accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Kenjarvis Cross 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 Kenjarvis Cross was last updated on October 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.