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CANDICE KOZARK LAC
NPI 1871944611
Counselor - Mental Health in Bentonville, AR

Active since June 23, 2016
2003 SE WALTON BLVD, BENTONVILLE, AR 72712(479) 725-6000(479) 750-4843 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2016, Jun 23, 2016 (2 updates tracked since 2016).

About Candice Kozark Lac NPPES

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

CANDICE KOZARK LAC (NPI 1871944611) is an individual mental health provider in Bentonville, Arkansas, licensed in Arkansas (A1608110) and active in the NPI registry since June 2016. She maintains a secondary practice location in Rogers.

NPPES Registry Identity

NPI1871944611
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDICE KOZARKCredential: LAC
Location Address2003 SE WALTON BLVDBentonville, AR 72712-3725
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Phone(479) 725-6000
Fax(479) 750-4843
Sole ProprietorNo
Enumeration DateJune 23, 2016
Last NPPES UpdateApril 4, 20182 updates tracked since enumeration
✔ NPI 1871944611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A1608110
2003 SE WALTON BLVD, Bentonville, AR 72712
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Other Names 1

Former Name (1)Candice Stone

Secondary Practice Location 1

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

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.

MOLLY E MURRAY MHPP
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5925
ANNA WALTON
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5925
KYMBERLY HERREN
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 725-6000
ERIKA M SWART MHPP
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5925
NORA L LOFTIS LCSW
Social Worker (Clinical)
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 725-6000
ANDREA LINEBAUGH MHPP/TEACHER
Case Manager/Care Coordinator
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5925
VALAN BUCCELLA
Behavior Analyst
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 464-5825
LEAH BETH PLATT LCSW
Social Worker (Clinical)
2003 SE WALTON BLVD
BENTONVILLE, AR 72712
Benton County (479) 725-6000

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 Candice Kozark's NPI number?

The NPI number for Candice Kozark is 1871944611. It was assigned to this individual provider in the NPPES registry on June 23, 2016. The provider is also known as Candice Stone.

Where is Candice Kozark located?

Candice Kozark practices at 2003 SE Walton Blvd, Bentonville, AR 72712. The listed phone number is (479) 725-6000.

What is Candice Kozark's specialty?

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

When was this NPI record last updated?

The NPPES record for Candice Kozark was last updated on April 4, 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.