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KAMILLAH KARRIEM QBHP
NPI 1205480951
Social Worker in Sheridan, AR

Active since July 31, 2019PECOS Enrolled
201 S ROSE ST, SHERIDAN, AR 72150(870) 917-2171(870) 917-2161 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kamillah Karriem Qbhp NPPES

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

KAMILLAH KARRIEM QBHP (NPI 1205480951) is an individual social worker in Sheridan, Arkansas and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205480951
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKAMILLAH KARRIEMCredential: QBHP
Location Address201 S ROSE STSheridan, AR 72150-2451
Mailing Address201 S Rose StSheridan, AR 72150-2451 · (870) 917-2171 · Fax (870) 917-2161
Phone(870) 917-2171
Fax(870) 917-2161
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 31, 2019
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1205480951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
201 S ROSE ST, Sheridan, AR 72150
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamillah Karriem Qbhp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496215972
PECOS Enrollment IDI20260903002554
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 Kamillah Karriem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Living Center - Chicago LLC
587 mi
Adult Mental Health
5061 N PULASKI RD
Chicago, IL 60630
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1154906998 (323) 419-3869

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 20

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

BAILIE PRINCE LAC
Counselor (Mental Health)
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
MICHAEL RYAN REED QBHP
Case Manager/Care Coordinator
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
ASHLEY NICOLE PIERCE LMSW
Social Worker
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
ANNA MORGAN QBHP
Case Manager/Care Coordinator
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
LAUREN MORRIS MHPP
Case Manager/Care Coordinator
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
DAVID BAGLEY MD
Psychiatry & Neurology (Psychiatry)
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
KATHERYN JAMES MHPP
Case Manager/Care Coordinator
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
HALEY KIZZIAR LPC
Counselor (Mental Health)
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171

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 Kamillah Karriem's NPI number?

The NPI number for Kamillah Karriem is 1205480951. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Kamillah Karriem located?

Kamillah Karriem practices at 201 S Rose St, Sheridan, AR 72150. The listed phone number is (870) 917-2171.

What is Kamillah Karriem's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kamillah Karriem enrolled in Medicare?

Yes. Kamillah Karriem is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kamillah Karriem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamillah Karriem reassigns Medicare benefits to Mindful Living Center - Chicago LLC (Chicago, IL). 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 Kamillah Karriem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kamillah Karriem was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.