MS. MICHELLE AINSWORTH LAC - NPI 1851420764

Q: What is Michelle Ainsworth's NPI number?

The NPI number for Michelle Ainsworth is 1851420764. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Michelle Ainsworth's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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About Ms. Michelle Ainsworth Lac NPPES

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

MS. MICHELLE AINSWORTH LAC (NPI 1851420764) is an individual counselor in Malvern, Arkansas, licensed in Arkansas (A0910109) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1851420764

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. MICHELLE AINSWORTHCredential: LAC

Location Address1615 MLK BLVDMalvern, AR 72104-2233

Mailing Address125 Dons WayHot Springs, AR 71913-6478 · (501) 624-7111 · Fax (501) 620-5109

Phone(501) 332-5236

Fax(501) 620-5109

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMarch 5, 2007

Last NPPES UpdateDecember 11, 2010

✔ NPI 1851420764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AR · A0910109

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1615 MLK BLVD, Malvern, AR 72104

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Other Identifiers 1

Medicaid116399726AR

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Michelle Ainsworth Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375980824

PECOS Enrollment IDI20240320002273

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 9

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

ZACK HOLLEMAN

Case Manager/Care Coordinator