KERRY RYALL LPC
NPI 1851528707
Counselor - Professional in Bentonville, AR

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
2003 SE WALTON BLVD, BENTONVILLE, AR 72712(479) 750-2020(479) 750-4843 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Jan 10, 2018, Jun 19, 2017 and 2 more (5 updates tracked since 2017).

About Kerry Ryall Lpc NPPES

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

KERRY RYALL LPC (NPI 1851528707) is an individual professional provider in Bentonville, Arkansas, licensed in Arkansas (P1706315) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rogers, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1851528707
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKERRY RYALLCredential: LPC
Location Address2003 SE WALTON BLVDBentonville, AR 72712-3725
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Fax(479) 750-4843
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateMarch 17, 20185 updates tracked since enumeration
✔ NPI 1851528707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P1706315
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0111361 (NM)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 61118 (CA)
2003 SE WALTON BLVD, Bentonville, AR 72712

Secondary Practice Location 1

Location 11200 W Walnut St, Suite 1400Rogers, AR 72756-3521 · Phone (479) 725-6000 · Fax (479) 750-4843

Other Identifiers 1

MedicaidM1925NM

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerry Ryall Lpc 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 ID2466897491
PECOS Enrollment IDI20240229003511
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 Kerry Ryall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
3623 JOHNSON MILL BLVD STE 103
Springdale, AR 72762
  • Reassigned Medicare billing, Arkansas enrollment
  • 20 clinicians in this Medicare group
Mental Health
1404 E VANGSTON ST
Siloam Springs, AR 72761
  • Reassigned Medicare billing, Arkansas enrollment

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 20

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

Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Social Worker (Clinical)
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Behavior Analyst
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Social Worker (Clinical)
2003 SE WALTON BLVD
BENTONVILLE, AR 72712

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 Kerry Ryall's NPI number?

The NPI number for Kerry Ryall is 1851528707. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Kerry Ryall located?

Kerry Ryall practices at 2003 SE Walton Blvd, Bentonville, AR 72712. The listed phone number is (479) 750-2020.

What is Kerry Ryall's specialty?

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

Is Kerry Ryall enrolled in Medicare?

Yes. Kerry Ryall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kerry Ryall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Ryall reassigns Medicare benefits to 2 organizations: Eason Counseling And Associates, LLC (Springdale, AR) and Bright Beginnings Counseling, PLLC (Siloam Springs, 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 Kerry Ryall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerry Ryall accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kerry Ryall 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 Kerry Ryall was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.