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CHARLANDA FORD LPC
NPI 1376719708
Counselor - Mental Health in Conway, AR

Active since May 06, 2008PECOS EnrolledAccepts Medicare Assignment
2215 E OAK ST STE 1, CONWAY, AR 72032(501) 336-0511(501) 336-4037 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2022, Jun 3, 2019, Aug 16, 2018 (3 updates tracked since 2018).

About Charlanda Ford Lpc NPPES

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

CHARLANDA FORD LPC (NPI 1376719708) is an individual mental health provider in Conway, Arkansas, licensed in Arkansas (P2208006) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376719708
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHARLANDA FORDCredential: LPC
Location Address2215 E OAK ST STE 1Conway, AR 72032-4644
Mailing Address2215 E Oak St Ste 1Conway, AR 72032-4644 · (501) 336-0511 · Fax (501) 336-4037
Phone(501) 336-0511
Fax(501) 336-4037
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 6, 2008
Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1376719708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · P2208006
2215 E OAK ST STE 1, Conway, AR 72032
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.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

Charlanda Ford Lpc 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 ID5294257507
PECOS Enrollment IDI20250317000966
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 Reassignments

3

Medicare enrollment records show Charlanda Ford reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inspiration Day Treatment, Inc.
24 mi
Community/Behavioral Health
1014 AUTUMN RD STE 3
Little Rock, AR 72211
  • Reassigned Medicare billing, Arkansas enrollment
  • 12 clinicians in this Medicare group
NPI 1811141807 (501) 221-1941
Real Development Corporation
43 mi
Community/Behavioral Health
1310 W MAIN ST STE 201
Russellville, AR 72801
  • Reassigned Medicare billing, Arkansas enrollment
  • 41 clinicians in this Medicare group
NPI 1568943140 (479) 968-2001
Supportive Psych Care Of Arkansas PA
143 mi
Psychiatry
811 W ELGIN ST
Siloam Springs, AR 72761
  • Reassigned Medicare billing, Arkansas enrollment
  • 78 clinicians in this Medicare group
NPI 1437887437 (718) 298-2753

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.

KEISHA HOUSTON LMSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
NATALIE ANN CARROLL LCSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
KRISTINA PIRO PLMSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
LAURA WRIGHT LMSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
LAKISHA K DIXON PLMSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
TERESA MAY MHPP
Case Manager/Care Coordinator
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
ASHLEY RICE QBHP
Case Manager/Care Coordinator
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (417) 353-9061
MADISON JOHNSTON QBHP
Case Manager/Care Coordinator
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511

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 Charlanda Ford's NPI number?

The NPI number for Charlanda Ford is 1376719708. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Charlanda Ford located?

Charlanda Ford practices at 2215 E Oak St Ste 1, Conway, AR 72032. The listed phone number is (501) 336-0511.

What is Charlanda Ford's specialty?

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

Is Charlanda Ford enrolled in Medicare?

Yes. Charlanda Ford 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 Charlanda Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlanda Ford reassigns Medicare benefits to 3 organizations: Inspiration Day Treatment, Inc. (Little Rock, AR), Real Development Corporation (Russellville, AR) and Supportive Psych Care Of Arkansas PA (Siloam Springs, 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 Charlanda Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlanda Ford accept?

Health plans from Health Advantage and Octave list Charlanda Ford 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 Charlanda Ford was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.