RYAN KILLACKEY LPC
NPI 1417356734
Counselor - Mental Health in Hot Springs, AR

Q: What is Ryan Killackey's NPI number?

The NPI number for Ryan Killackey is 1417356734. It was assigned to this individual provider in the NPPES registry on August 22, 2014.

Q: What is Ryan Killackey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Killackey was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 22, 2014PECOS EnrolledAccepts Medicare Assignment

125 WELLNESS WAY, HOT SPRINGS, AR 71913(501) 624-7111(501) 620-5109 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2020, Jun 12, 2018, Jun 7, 2017 (3 updates tracked since 2017).

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About Ryan Killackey Lpc NPPES

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

RYAN KILLACKEY LPC (NPI 1417356734) is an individual mental health provider in Hot Springs, Arkansas, licensed in Arkansas (P1705296) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1417356734

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameRYAN KILLACKEYCredential: LPC

Location Address125 WELLNESS WAYHot Springs, AR 71913

Mailing Address125 Wellness WayHot Springs, AR 71913-6478 · (501) 624-7111 · Fax (501) 620-5109

Phone(501) 624-7111

Fax(501) 620-5109

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 22, 2014

Last NPPES UpdateJuly 1, 20203 updates tracked since enumeration

NPPES CertifiedJuly 1, 2020

✔ NPI 1417356734 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 · P1705296

125 WELLNESS WAY, Hot Springs, AR 71913

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Other Identifiers 1

Medicaid227474719AR

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

Ryan Killackey 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 ID4486002359

PECOS Enrollment IDI20240213004835

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 20

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

AMBER HOKE RECOVERY ASSISTANT

Behavior Technician