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MRS. KELLI JEAN FAIRRIS M.S.E., L.P.C
NPI 1326220856
Counselor - Professional in Lake Village, AR

Active since November 27, 2007PECOS EnrolledAccepts Medicare Assignment
1127 SECOND ST, LAKE VILLAGE, AR 71653(870) 265-3808 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelli Jean Fairris M.s.e., L.p.c NPPES

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

MRS. KELLI JEAN FAIRRIS M.S.E., L.P.C (NPI 1326220856) is an individual professional provider in Lake Village, Arkansas, licensed in Arkansas (P1011073) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1326220856
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KELLI JEAN FAIRRISCredential: M.S.E., L.P.C
Location Address1127 SECOND STLake Village, AR 71653-1541
Mailing Address790 Roberts DrMonticello, AR 71655-5723 · (870) 367-2461
Phone(870) 265-3808
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 27, 2007
Last NPPES UpdateDecember 29, 2025
NPPES CertifiedDecember 29, 2025
✔ NPI 1326220856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P1011073
1127 SECOND ST, Lake Village, AR 71653
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Mrs. Kelli Jean Fairris M.s.e., L.p.c 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 ID42661670
PECOS Enrollment IDI20240109000673
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
152 services37 patients

Other Providers at the Same Location NPPES 19

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

LUANNE BROWN
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3810
JOHN ISAAC
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
LISA COOPER
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
KEONA JACKSON
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
LEKASHA MCCLINTON
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
COURTNEY BROWN
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3810
JENNIFER CRNKOVIC
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808
LEAH ARMSTRONG
Case Manager/Care Coordinator
1127 SECOND ST
LAKE VILLAGE, AR 71653
Chicot County (870) 265-3808

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 Kelli Fairris's NPI number?

The NPI number for Kelli Fairris is 1326220856. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Kelli Fairris located?

Kelli Fairris practices at 1127 Second St, Lake Village, AR 71653. The listed phone number is (870) 265-3808.

What is Kelli Fairris's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kelli Fairris enrolled in Medicare?

Yes. Kelli Fairris 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 Kelli Fairris 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 Kelli Fairris 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 Kelli Fairris was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.