MRS. MISTY DEONDRA MERRITT LPC
NPI 1851675037
Counselor - Professional in Jonesboro, AR

Q: What is Misty Merritt's NPI number?

The NPI number for Misty Merritt is 1851675037. It was assigned to this individual provider in the NPPES registry on October 5, 2011. The provider is also known as Ms. Deondra Merritt Lpc.

Q: What is Misty Merritt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Merritt was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 05, 2011PECOS Enrolled

1815 PLEASANT GROVE RD, JONESBORO, AR 72401(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2021, May 22, 2018 (2 updates tracked since 2018).

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About Mrs. Misty Deondra Merritt Lpc NPPES

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

MRS. MISTY DEONDRA MERRITT LPC (NPI 1851675037) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P1811149) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851675037

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. MISTY DEONDRA MERRITTCredential: LPC

Location Address1815 PLEASANT GROVE RDJonesboro, AR 72401-7870

Mailing Address1815 Pleasant Grove RdJonesboro, AR 72401-7870 · (870) 933-6886 · Fax (870) 933-9395

Phone(870) 933-6886

Fax(870) 933-9395

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 5, 2011

Last NPPES UpdateMay 4, 20212 updates tracked since enumeration

NPPES CertifiedMay 4, 2021

✔ NPI 1851675037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · P1811149

Also ListedCounselorTaxonomy 101Y00000X · License A1507098 (AR)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1815 PLEASANT GROVE RD, Jonesboro, AR 72401

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Other Names 1

Other Name (5)Ms. Deondra Merritt Lpc

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 (PECOS)

Mrs. Misty Deondra Merritt Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103273065

PECOS Enrollment IDI20240307003253

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 20

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

SARAH LYNN MATTHEWS MHPP

Case Manager/Care Coordinator