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MR. KENYON MARK MOSHER LPC, LADAC
NPI 1184857369
Counselor - Mental Health in Arkadelphia, AR

Active since September 03, 2009PECOS EnrolledAccepts Medicare Assignment
2503 PINE ST STE 4, ARKADELPHIA, AR 71923(870) 403-3769(877) 276-1301 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2021, Jul 2, 2020 (2 updates tracked since 2020).

About Mr. Kenyon Mark Mosher Lpc, Ladac NPPES

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

MR. KENYON MARK MOSHER LPC, LADAC (NPI 1184857369) is an individual mental health provider in Arkadelphia, Arkansas, licensed in Arkansas (P1106034) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184857369
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENYON MARK MOSHERCredential: LPC, LADAC
Location Address2503 PINE ST STE 4Arkadelphia, AR 71923-4368
Mailing Address2503 Pine St Ste 4Arkadelphia, AR 71923-4368 · (870) 403-3769 · Fax (877) 276-1301
Phone(870) 403-3769
Fax(877) 276-1301
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 3, 2009
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
✔ NPI 1184857369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in AR · P1106034✔ Licensed in AR · P110604
2503 PINE ST STE 4, Arkadelphia, AR 71923
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Other Identifiers 1

Medicaid231767719AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Mr. Kenyon Mark Mosher Lpc, Ladac 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 ID6709371826
PECOS Enrollment IDI20251216004318
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.

Other Providers at the Same Location NPPES 8

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

INSPIRED SUCCESS LLC
Counselor (Mental Health)
2503 PINE ST STE 4
ARKADELPHIA, AR 71923
Clark County (940) 641-6768
ASHLEY L LAVINE
Counselor (Professional)
2503 PINE ST STE 4
ARKADELPHIA, AR 71923
Clark County (940) 641-6768
HERSHALL WILLIAMS
Behavior Technician
2503 PINE ST STE 4
ARKADELPHIA, AR 71923
Clark County (870) 725-6475
LAMPSTEAD COUNSELING LLC
Counselor (Mental Health)
2503 PINE ST STE 4
ARKADELPHIA, AR 71923
Clark County (580) 541-6416
AKOUO COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2503 PINE ST STE 4
ARKADELPHIA, AR 71923
Clark County (870) 403-4879
CICELY WILLIAMS LPC
Counselor (Mental Health)
2503 PINE ST STE 4
ARKADELPHIA, AR 71923
Clark County (870) 725-6475
COUNSLING PLACE, LLC
Clinic/Center (Adult Mental Health)
2503 PINE ST STE 4
ARKADELPHIA, AR 71923
Clark County (870) 403-4878
JOSEPH EDWARD BURT LPC
Counselor (Mental Health)
2503 PINE ST STE 4
ARKADELPHIA, AR 71923
Clark County (870) 403-4878

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 Kenyon Mosher's NPI number?

The NPI number for Kenyon Mosher is 1184857369. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Where is Kenyon Mosher located?

Kenyon Mosher practices at 2503 Pine St Ste 4, Arkadelphia, AR 71923. The listed phone number is (870) 403-3769.

What is Kenyon Mosher's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kenyon Mosher enrolled in Medicare?

Yes. Kenyon Mosher 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 Kenyon Mosher accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kenyon Mosher 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 Kenyon Mosher was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.