GRACE THERAPEUTICS OF ARKANSAS
NPI 1821710955
Counselor - Mental Health in Conway, AR
About Grace Therapeutics Of Arkansas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE THERAPEUTICS OF ARKANSAS (NPI 1821710955) is a healthcare organization registered as a mental health in Conway, Arkansas and active in the NPI registry since September 2022. The organization lists Clevelon Lasker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Therapeutics Of Arkansas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Therapeutics Of Arkansas, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Grace Therapeutics Of Arkansas's NPI number?
The NPI number for Grace Therapeutics Of Arkansas is 1821710955. It was assigned to this organization in the NPPES registry on September 15, 2022.
Where is Grace Therapeutics Of Arkansas located?
Grace Therapeutics Of Arkansas is located at 1912 Washington Ave, Conway, AR 72032. The listed phone number is (870) 623-6299.
What is Grace Therapeutics Of Arkansas's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Grace Therapeutics Of Arkansas enrolled in Medicare?
Yes. Grace Therapeutics Of Arkansas is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Therapeutics Of Arkansas?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Grace Therapeutics Of Arkansas. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grace Therapeutics Of Arkansas was last updated on September 15, 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.
# Grace Therapeutics Of Arkansas · NPI 1821710955
Mental Health organization in Conway, Arkansas. Organization record, active in the CMS NPPES registry since September 15, 2022.
## Identity
- **NPI:** 1821710955 (Entity type: Organization)
- **Enumerated:** September 15, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Clevelon Lasker, OWNER
## Practice location
- **Address:** 1912 WASHINGTON AVE, Conway, AR 72032-2729
- **Phone:** (870) 623-6299
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1821710955) · Data from the CMS NPPES public registry.