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LIFE JOURNEY COUNSELING LLC
NPI 1326874454
Social Worker - Clinical in Fayetteville, AR

Active since September 13, 2024
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 443-5575(479) 443-9554 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Life Journey Counseling Llc NPPES

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

LIFE JOURNEY COUNSELING LLC (NPI 1326874454) is a healthcare organization registered as a clinical in Fayetteville, Arkansas and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Fayetteville and lists Kathryn Malbica, Owner/lcsw, as its authorized official.

NPPES Registry Identity

NPI1326874454
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE JOURNEY COUNSELING LLC
Location Address1 W SUNBRIDGE DRFayetteville, AR 72703-1825
Mailing Address1 W Sunbridge DrFayetteville, AR 72703-1825 · (479) 443-5575 · Fax (479) 443-9554
Phone(479) 443-5575
Fax(479) 443-9554
Organization SubpartNo
Authorized OfficialKathryn MalbicaOwner/lcsw · (801) 231-1552
Enumeration DateSeptember 13, 2024
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1326874454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1 W SUNBRIDGE DR, Fayetteville, AR 72703
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Secondary Practice Location 1

Location 186 W Sunbridge DrFayetteville, AR 72703-1822 · Phone (479) 443-5575 · Fax (479) 443-9554

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Journey Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Life Journey Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathryn Malbica
Clinical Social Worker
NPI 1619128642
1 W SUNBRIDGE DR
Fayetteville, AR 72703
(479) 443-5575
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Life Journey Counseling LLC's NPI number?

The NPI number for Life Journey Counseling LLC is 1326874454. It was assigned to this organization in the NPPES registry on September 13, 2024.

Where is Life Journey Counseling LLC located?

Life Journey Counseling LLC is located at 1 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 443-5575.

What is Life Journey Counseling LLC's specialty?

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

Is Life Journey Counseling LLC enrolled in Medicare?

Yes. Life Journey Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Journey Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Life Journey Counseling LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Journey Counseling LLC was last updated on October 28, 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.