Kathryn M Shaffer, LPC in Bentonville, AR - Medicare Mental Health Counselor Provider

Kathryn M Shaffer, LPC is a medicare enrolled "Counselor - Professional" provider in Bentonville, Arkansas. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Ozark Guidance Center, Inc, Arisa Health Inc and her current practice location is 1202 Ne Mcclain Rd Bldg 7, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 545-1545.

Kathryn M Shaffer is licensed to practice in Arkansas (license number P2409007) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073243085.

Contact Information

	Kathryn M Shaffer, LPC
	1202 Ne Mcclain Rd Bldg 7, Bentonville, AR 72712-3875
	(479) 545-1545
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathryn M Shaffer
Gender	Female
Speciality	Mental Health Counselor
Experience	4 Years
Location	1202 Ne Mcclain Rd Bldg 7, Bentonville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathryn M Shaffer graduated from medical school in 2022

NPI Data:

NPI Number: 1073243085
Provider Enumeration Date: 06/13/2022
Last Update Date: 06/23/2026

Medicare PECOS Information:

PECOS PAC ID: 1052842705
Enrollment ID: I20241004001521

Medical Identifiers

Medical identifiers for Kathryn M Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073243085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P2409007 (Arkansas)	Primary
101YM0800X	Counselor - Mental Health	A2208014 (Arkansas)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ozark Guidance Center, Inc	7214833730	33
Arisa Health Inc	2264853829	62

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn M Shaffer allows following entities to bill medicare on her behalf.

Entity Name	Ozark Guidance Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609875186 PECOS PAC ID: 7214833730 Enrollment ID: O20031208000380

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn M Shaffer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kathryn M Shaffer, LPC 9274 Commonwealth Rd, Bentonville, AR 72712-8892 Ph: (479) 545-1545	Kathryn M Shaffer, LPC 1202 Ne Mcclain Rd Bldg 7, Bentonville, AR 72712-3875 Ph: (479) 545-1545

Reviews and Comments

Counselor in Bentonville, AR

Maria Goostree, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Alexandra Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Blanca Ramos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060 Fax: 479-271-6307
Jana E Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060
William R Hiddle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 N Walton Blvd Unit 6, Bentonville, AR 72712 Phone: 479-855-5704
Erich C Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 910 Se 21st St, Bentonville, AR 72712 Phone: 479-367-1110
Payton Journagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 602 N Walton Blvd, Bentonville, AR 72712 Phone: 479-464-1060

Kathryn M Shaffer, LPC - Medicare Counselor in Bentonville, AR