Breakthrough Counseling and Assessment Services, LLC
NPI 1265382113ActiveOrganization· Psychologist, Clinical· Conway, AR
Psychologist, Clinical in Conway, Arkansas, registered in NPPES in January 2026. The authorized official on file is Sherese Hicks, PHD, Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265382113 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2026 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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