Conway Counseling & Psychological Services, PLLC
NPI 1528454139ActiveOrganization· Counselor, Professional· Conway, AR
Counselor, Professional in Conway, Arkansas, registered in NPPES in April 2015. The authorized official on file is Ayisha R. Kellybrew-Miller, LPC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528454139 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2015 |
| Last updated in NPPES | Apr 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | P0409039 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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