KENJARVIS CROSS LCSW
NPI 1184078875
Social Worker - Clinical in Blytheville, AR
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Kenjarvis Cross reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 140 clinicians in this Medicare group
Heber Springs, AR 72543
- Reassigned Medicare billing, Arkansas enrollment
- 79 clinicians in this Medicare group
North Little Rock, AR 72117
- Reassigned Medicare billing, Arkansas enrollment
- 40 clinicians in this Medicare group
Springdale, AR 72762
- Reassigned Medicare billing, Arkansas enrollment
- 75 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.
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.
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.
BLYTHEVILLE, AR 72315
BLYTHEVILLE, AR 72315
BLYTHEVILLE, AR 72315
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.
Which organizations bill Medicare for Kenjarvis Cross's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenjarvis Cross reassigns Medicare benefits to 4 organizations: Arisa Health, Inc. (Jonesboro, AR), Counseling Associates, Inc. (Heber Springs, AR), Professional Counseling Associates Inc. (North Little Rock, AR) and Ozark Guidance Center, Inc (Springdale, AR). Each 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 Kenjarvis Cross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenjarvis Cross accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Kenjarvis Cross, LCSW · NPI 1184078875
Clinical provider in Blytheville, Arkansas. Individual provider, active in the CMS NPPES registry since April 19, 2016.
## Identity
- **NPI:** 1184078875 (Entity type: Individual)
- **Enumerated:** April 19, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 209 S LOCKARD ST, Blytheville, AR 72315-2541
- **Phone:** (870) 763-2139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Arisa Health, Inc. (NPI 1306532767, Jonesboro, AR); Counseling Associates, Inc. (NPI 1144701848, Heber Springs, AR); Professional Counseling Associates Inc. (NPI 1437164977, North Little Rock, AR); Ozark Guidance Center, Inc (NPI 1609875186, Springdale, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184078875) · Data from the CMS NPPES public registry.