Mrs Kellye Gautier, LPC in Bentonville, AR - Medicare Mental Health Counselor Provider

Mrs Kellye Gautier, LPC is a medicare enrolled "Counselor - Professional" provider in Bentonville, Arkansas. She graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is 2003 Se Walton Blvd, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 725-6000.

Mrs Kellye Gautier is licensed to practice in Arkansas (license number P1810135) 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 1104272616.

Contact Information

	Mrs Kellye Gautier, LPC
	2003 Se Walton Blvd, Bentonville, AR 72712-3725
	(479) 725-6000
	(479) 750-4843

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kellye Gautier
Gender	Female
Speciality	Mental Health Counselor
Experience	12 Years
Location	2003 Se Walton Blvd, 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:

Mrs Kellye Gautier graduated from medical school in 2014

NPI Data:

NPI Number: 1104272616
Provider Enumeration Date: 05/13/2016
Last Update Date: 10/17/2018

Medicare PECOS Information:

PECOS PAC ID: 6406330208
Enrollment ID: I20260319002639

Medical Identifiers

Medical identifiers for Mrs Kellye Gautier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104272616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	F1411018 (Arkansas)	Secondary
101YP2500X	Counselor - Professional	P1810135 (Arkansas)	Primary

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 Kellye Gautier 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 Kellye Gautier, LPC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020	Mrs Kellye Gautier, LPC 2003 Se Walton Blvd, Bentonville, AR 72712-3725 Ph: (479) 725-6000

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

Mrs Kellye Gautier, LPC - Medicare Counselor in Bentonville, AR