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KACIE D CARROLL
NPI 1811258809
Counselor - Mental Health in Fort Smith, AR

Active since June 06, 2012PECOS Enrolled
7217 CAMERON PARK DR, FORT SMITH, AR 72903(479) 831-6007(479) 782-1242 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, May 19, 2023 (2 updates tracked since 2023).

About Kacie D Carroll NPPES

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

KACIE D CARROLL (NPI 1811258809) is an individual mental health provider in Fort Smith, Arkansas, licensed in Arkansas (P2207005) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Smith, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1811258809
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKACIE D CARROLL
Location Address7217 CAMERON PARK DRFort Smith, AR 72903-6167
Mailing AddressPo Box 23070Barling, AR 72923-0070 · (479) 452-5040 · Fax (479) 452-5047
Phone(479) 831-6007
Fax(479) 782-1242
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 6, 2012
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1811258809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · P2207005
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
7217 CAMERON PARK DR, Fort Smith, AR 72903
Open in Google Maps ↗

Secondary Practice Location 1

Location 11340 S Waldron RdFort Smith, AR 72903-2556 · Phone (479) 452-5040 · Fax (479) 452-5047

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kacie D Carroll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294184875
PECOS Enrollment IDI20231207002308
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 Reassignment

Medicare enrollment records show Kacie Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Psychiatric Wellness, PLLC.
Same address
Psychiatry
7217 CAMERON PARK DR
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 12 clinicians in this Medicare group
NPI 1457733099 (479) 831-6007

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.

MANDI T WILLIAMS APRN
Nurse Practitioner (Psychiatric/Mental Health)
7217 CAMERON PARK DR
FORT SMITH, AR 72903
Sebastian County (479) 831-6007
DR. WILLIAM CLINT KINDRICK M.D.
Psychiatry & Neurology (Psychiatry)
7217 CAMERON PARK DR
FORT SMITH, AR 72903
Sebastian County (479) 831-6007
BRADLEY SCOTT LPC
Counselor (Professional)
7217 CAMERON PARK DR
FORT SMITH, AR 72903
Sebastian County (479) 831-6007
DR. KRISTI MARIE KINDRICK M.D.
Psychiatry & Neurology (Psychiatry)
7217 CAMERON PARK DR
FORT SMITH, AR 72903
Sebastian County (479) 831-6007
KATHERLEEN SALLEE LPC
Counselor (Professional)
7217 CAMERON PARK DR
FORT SMITH, AR 72903
Sebastian County (479) 831-6007
MR. JAMES GATTIS APN
Nurse Practitioner (Psychiatric/Mental Health)
7217 CAMERON PARK DR
FORT SMITH, AR 72903
Sebastian County (479) 831-6007
CENTER FOR PSYCHIATRIC WELLNESS, PLLC.
Psychiatry & Neurology (Psychiatry)
7217 CAMERON PARK DR
FORT SMITH, AR 72903
Sebastian County (479) 831-6007
KELLY WEBB LPC
Counselor (Professional)
7217 CAMERON PARK DR
FORT SMITH, AR 72903
Sebastian County (479) 831-6007

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 Kacie Carroll's NPI number?

The NPI number for Kacie Carroll is 1811258809. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Kacie Carroll located?

Kacie Carroll practices at 7217 Cameron Park Dr, Fort Smith, AR 72903. The listed phone number is (479) 831-6007.

What is Kacie Carroll's specialty?

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

Is Kacie Carroll enrolled in Medicare?

Yes. Kacie Carroll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kacie Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kacie Carroll reassigns Medicare benefits to Center For Psychiatric Wellness, PLLC. (Fort Smith, 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 Kacie Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kacie Carroll accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kacie Carroll 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 Kacie Carroll was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.