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MARK A COFFMAN LPC, LADAC
NPI 1780775288
Counselor - Professional in Russellville, AR

Active since September 27, 2006PECOS Enrolled
902 W MAIN ST, RUSSELLVILLE, AR 72801(479) 452-6650(479) 452-5847 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2026, Feb 5, 2020, Mar 6, 2018 (3 updates tracked since 2018).

About Mark A Coffman Lpc, Ladac NPPES

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

MARK A COFFMAN LPC, LADAC (NPI 1780775288) is an individual professional provider in Russellville, Arkansas, licensed in Arkansas (P0505033) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1780775288
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK A COFFMANCredential: LPC, LADAC
Location Address902 W MAIN STRussellville, AR 72801-3516
Mailing AddressPo Box 11818Fort Smith, AR 72917-1818 · (479) 452-6650 · Fax (479) 452-5847
Phone(479) 452-6650
Fax(479) 452-5847
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1780775288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P0505033
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License P0505033 (AR)
902 W MAIN ST, Russellville, AR 72801
Open in Google Maps ↗

Other Identifiers 1

Medicaid227466719AR

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 (PECOS)

Mark A Coffman Lpc, Ladac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092151498
PECOS Enrollment IDI20240307002616
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

2

Medicare enrollment records show Mark Coffman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counseling Associates Inc
2.7 mi
Community/Behavioral Health
110 SKYLINE DRIVE
Russellville, AR 72801
  • Reassigned Medicare billing, Arkansas enrollment
  • 79 clinicians in this Medicare group
NPI 1649381120 (479) 968-1298
The Guidance Center - Paris Clinic
34 mi
Community/Behavioral Health
415 S 6TH ST
Paris, AR 72855
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Western Arkansas Counseling & Guidance Center, Inc
  • 76 clinicians in this Medicare group
NPI 1801061205 (479) 452-6650

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 3

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

KIMBERLY WRIGHT
Case Manager/Care Coordinator
902 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 452-6650
MRS. HEATHER MARIE HILLIS APRN, FNP-C
Nurse Practitioner
902 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (877) 522-1275
JILLIAN A ISON
Case Manager/Care Coordinator
902 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (479) 910-0520

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 Mark Coffman's NPI number?

The NPI number for Mark Coffman is 1780775288. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Mark Coffman located?

Mark Coffman practices at 902 W Main St, Russellville, AR 72801. The listed phone number is (479) 452-6650.

What is Mark Coffman's specialty?

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

Is Mark Coffman enrolled in Medicare?

Yes. Mark Coffman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Coffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Coffman reassigns Medicare benefits to 2 organizations: Counseling Associates Inc (Russellville, AR) and The Guidance Center - Paris Clinic (Paris, 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 Mark Coffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Coffman accept?

Health plans from Health Advantage and Octave list Mark Coffman 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 Mark Coffman was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.