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Active NPI 1962742569 Individual Practitioner Male Practitioner

Matthew Ryan Keller , LPC

Counselor - Professional • Ash Flat, AR

Professional Overview & Biography Verified Profile Summary

Matthew Keller, LPC is a registered healthcare professional specializing in Counselor - Professional in Ash Flat, AR. Practice services are available at 75 HWY 62/4 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

75 Hwy 62/4 12
Suite J

Ash Flat, AR 725139629

Telephone 8709947060
Fax 8709947063
Associated Practice Facility / Clinic
🏢 Families, Inc Of Arkansas Facility NPI 1174613939

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Ash Flat, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 14.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Ash Flat, AR (1670 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AR P1511123

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
191202795 (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Johnathan Brown , QBHP

Case Manager/Care Coordinator

NPI 1043869019
Paul Swymn

Case Manager/Care Coordinator

NPI 1083948095
Candice Biewer , MHPP

Case Manager/Care Coordinator

NPI 1104218965

Mental Health Professional Practitioner

Jeffrey Cummins

Case Manager/Care Coordinator

NPI 1124384664
Lucian Lovell , MHPP

Case Manager/Care Coordinator

NPI 1124477807

Mental Health Professional Practitioner

Jeremiah Dillehay , LPC

Counselor - Professional

NPI 1134379357

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active May 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2017

Registered at 75 HWY 62/4 12, SUITE J, ASH FLAT, AR 725139629 (Tel: 8709947060)

📍
Updated Business Mailing Address May 23, 2017

Registered at 1815 PLEASANT GROVE RD, JONESBORO, AR 724017870 (Tel: (870) 933-6886)

👤
Provider Name / Credentials Updated May 23, 2017

Recorded as MATTHEW KELLER, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2017

Counselor (License #P1511123 in AR)

NPI Profile Active December 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2016

Registered at 1340 S WALDRON RD, FORT SMITH, AR 729032556 (Tel: 4794525040)

📍
Updated Business Mailing Address December 13, 2016

Registered at PO BOX 23070, BARLING, AR 729230070 (Tel: 4794525040)

👤
Provider Name / Credentials Updated December 13, 2016

Recorded as MATTHEW KELLER, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2016

Counselor (License #P1511123 in AR)

🟢
Initial NPI Registration & Enumeration February 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962742569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2013
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1815 Pleasant Grove Rd

Jonesboro, AR 724017870

Phone: 8709336886

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.