TRACY KENNEDY COUNSELING LLC
NPI 1891411559
Counselor - Professional in Mena, AR

Active since October 14, 2022
1142 HIGHWAY 71 S STE C, MENA, AR 71953(479) 437-7967 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tracy Kennedy Counseling Llc NPPES

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

TRACY KENNEDY COUNSELING LLC (NPI 1891411559) is a healthcare organization registered as a professional in Mena, Arkansas and active in the NPI registry since October 2022. The organization maintains 2 additional practice locations and lists Tracy Kennedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1891411559
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTRACY KENNEDY COUNSELING LLC
Location Address1142 HIGHWAY 71 S STE CMena, AR 71953-8078
Mailing Address151 Allen LnOden, AR 71961-8069 · (479) 216-4262
Organization SubpartNo
Authorized OfficialTracy KennedyOwner · (479) 216-4262
Enumeration DateOctober 14, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1891411559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1142 HIGHWAY 71 S STE C, Mena, AR 71953

Other Names 1

Doing Business AsTracy Kennedy Counseling Llc

Secondary Practice Locations 2

Location 1500 DeQueen StOden, AR 71961 · Phone (479) 216-4262
Location 2117 Ray Dr.Mt. Ida, AR 71957 · Phone (479) 437-7967

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Kennedy Counseling Llc 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 Tracy Kennedy Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1619227279
139 SCHOOL LN
Mena, AR 71953
(479) 394-2932
✔ PECOS✔ Accepts Medicare4.6 mi

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 Tracy Kennedy Counseling LLC's NPI number?

The NPI number for Tracy Kennedy Counseling LLC is 1891411559. It was assigned to this organization in the NPPES registry on October 14, 2022.

Where is Tracy Kennedy Counseling LLC located?

Tracy Kennedy Counseling LLC is located at 1142 Highway 71 S Ste C, Mena, AR 71953. The listed phone number is (479) 437-7967.

What is Tracy Kennedy Counseling LLC's specialty?

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

Is Tracy Kennedy Counseling LLC enrolled in Medicare?

Yes. Tracy Kennedy Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tracy Kennedy Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Tracy Kennedy Counseling LLC. 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 Tracy Kennedy Counseling LLC was last updated on October 14, 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.