Mrs Kelli Jean Fairris, MSE, LPC in Lake Village, AR - Medicare Mental Health Counselor Provider

Mrs Kelli Jean Fairris, MSE, LPC is a medicare enrolled "Counselor - Professional" provider in Lake Village, Arkansas. She graduated from healthcare school in 2001 and has 25 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Delta Counseling Associates Inc and her current practice location is 1127 Second St, Lake Village, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 265-3808.

Mrs Kelli Jean Fairris is licensed to practice in Arkansas (license number P1011073) 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 1326220856.

Contact Information

	Mrs Kelli Jean Fairris, MSE, LPC
	1127 Second St, Lake Village, AR 71653-1541
	(870) 265-3808
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelli Jean Fairris
Gender	Female
Speciality	Mental Health Counselor
Experience	25 Years
Location	1127 Second St, Lake Village, 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:

Mrs Kelli Jean Fairris graduated from medical school in 2001

NPI Data:

NPI Number: 1326220856
Provider Enumeration Date: 11/27/2007
Last Update Date: 12/29/2025

Medicare PECOS Information:

PECOS PAC ID: 0042661670
Enrollment ID: I20240109000673

Medical Identifiers

Medical identifiers for Mrs Kelli Jean Fairris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326220856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P1011073 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Delta Counseling Associates Inc	1850377508	11

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. Mrs Kelli Jean Fairris allows following entities to bill medicare on her behalf.

Entity Name	Delta Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053364612 PECOS PAC ID: 1850377508 Enrollment ID: O20040624001643

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. Mrs Kelli Jean Fairris 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
Mrs Kelli Jean Fairris, MSE, LPC 790 Roberts Dr, Monticello, AR 71655-5723 Ph: (870) 367-2461	Mrs Kelli Jean Fairris, MSE, LPC 1127 Second St, Lake Village, AR 71653-1541 Ph: (870) 265-3808

Reviews and Comments

Counselor in Lake Village, AR

Mrs. Tequeshia Z Mckoy, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Highway 65 82, Ste B, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707
Kristina Mcintyre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653 Phone: 479-464-1060
Laniece Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707
Johnisha Graham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653 Phone: 479-464-1060
Teresa Rone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Highway 65 82 Ste B, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707
Leatrice Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1652 S Highway 65 82, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707
Ronicia Johnson Cunningham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 608 S Highway 65 82, Ste B, Lake Village, AR 71653 Phone: 870-265-3711 Fax: 870-265-3707

Mrs Kelli Jean Fairris, MSE, LPC - Medicare Counselor in Lake Village, AR