ELIZABETH EVANS MONGEAU MS, LAC
NPI 1467931204
Counselor - Professional in Springdale, AR

Q: What is Elizabeth Mongeau's NPI number?

The NPI number for Elizabeth Mongeau is 1467931204. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Q: What is Elizabeth Mongeau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Mongeau was last updated on March 31, 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.

Active since August 13, 2018PECOS Enrolled

3895 GEORGE ANDERSON RD, SPRINGDALE, AR 72764(479) 521-1532 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2020, Aug 13, 2018 (2 updates tracked since 2018).

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About Elizabeth Evans Mongeau Ms, Lac NPPES

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

ELIZABETH EVANS MONGEAU MS, LAC (NPI 1467931204) is an individual professional provider in Springdale, Arkansas, licensed in Arkansas (A2005072) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467931204

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameELIZABETH EVANS MONGEAUCredential: MS, LAC

Location Address3895 GEORGE ANDERSON RDSpringdale, AR 72764-8251

Mailing Address2885 W Battlefield StSpringfield, MO 65807-3952 · (417) 761-5000 · Fax (417) 761-5065

Phone(479) 521-1532

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 13, 2018

Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration

NPPES CertifiedMarch 31, 2022

✔ NPI 1467931204 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 · A2005072

3895 GEORGE ANDERSON RD, Springdale, AR 72764

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Secondary Practice Location 1

Location 12153 E Joyce BlvdFayetteville, AR 72703-4714 · Phone (479) 224-1483

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 (PECOS)

Elizabeth Evans Mongeau Ms, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971042367

PECOS Enrollment IDI20240829001712

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 8

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

GOOD SHEPHERD TRANSPORTATION LLC

Non-emergency Medical Transport (VAN)