CLARENCE KEVIN BEDFORD LPC
NPI 1922331925
Counselor - Professional in Rogers, AR

Q: What is Clarence Bedford's NPI number?

The NPI number for Clarence Bedford is 1922331925. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Q: What is Clarence Bedford'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 Clarence Bedford 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.

Active since September 09, 2009PECOS Enrolled

1200 W WALNUT ST STE 1400, ROGERS, AR 72756(479) 750-2020(479) 750-8967 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clarence Kevin Bedford Lpc NPPES

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

CLARENCE KEVIN BEDFORD LPC (NPI 1922331925) is an individual professional provider in Rogers, Arkansas, licensed in Arkansas (P1003022) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1922331925

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameCLARENCE KEVIN BEDFORDCredential: LPC

Location Address1200 W WALNUT ST STE 1400Rogers, AR 72756-3598

Mailing Address204 S 24th StRogers, AR 72758-1129 · (479) 621-0301 · Fax (479) 899-6300

Phone(479) 750-2020

Fax(479) 750-8967

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 9, 2009

Last NPPES UpdateMarch 17, 2018

✔ NPI 1922331925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · P1003022

Also ListedCounselorTaxonomy 101Y00000X · License P1003022 (AR)

1200 W WALNUT ST STE 1400, Rogers, AR 72756

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Secondary Practice Locations 2

Location 11200 W Walnut St Ste 3100Rogers, AR 72756-3524 · Phone (479) 621-0301 · Fax (479) 899-6300

Location 21200 W Walnut St Ste 1400Rogers, AR 72756-3598 · Phone (479) 750-2020 · Fax (479) 750-8967

Other Identifiers 1

OtherP1003022AR · Ar License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

Clarence Kevin Bedford Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880121441

PECOS Enrollment IDI20241219003382

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 14

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

HOLLY ANN LUNGREN LAC

Counselor (Mental Health)