MR. KACEY MATTHEW JOHNS LAC
NPI 1700508009
Counselor - Professional in North Little Rock, AR
About Mr. Kacey Matthew Johns Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KACEY MATTHEW JOHNS LAC (NPI 1700508009) is an individual professional provider in North Little Rock, Arkansas, licensed in Arkansas (P2510010) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kacey Matthew Johns Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kacey Johns reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 94 clinicians in this Medicare group
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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NORTH LITTLE ROCK, AR 72116
NORTH LITTLE ROCK, AR 72116
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 Kacey Johns's NPI number?
The NPI number for Kacey Johns is 1700508009. It was assigned to this individual provider in the NPPES registry on September 13, 2022.
Where is Kacey Johns located?
Kacey Johns practices at 2504 Mccain Blvd Ste 200, North Little Rock, AR 72116. The listed phone number is (501) 781-2230.
What is Kacey Johns's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kacey Johns enrolled in Medicare?
Yes. Kacey Johns is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kacey Johns's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kacey Johns reassigns Medicare benefits to Chenal Family Therapy, Plc (Little Rock, AR). The 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 Kacey Johns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kacey Johns accept?
Health plans from Health Advantage and Octave list Kacey Johns 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 Kacey Johns was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Kacey Matthew Johns, LAC · NPI 1700508009
Professional provider in North Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since September 13, 2022.
## Identity
- **NPI:** 1700508009 (Entity type: Individual)
- **Enumerated:** September 13, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2510010 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2504 MCCAIN BLVD STE 200, North Little Rock, AR 72116-7612
- **Phone:** (501) 781-2230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Chenal Family Therapy, Plc (NPI 1356604219, Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700508009) · Data from the CMS NPPES public registry.