Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kacie D Carroll

Individual provider Mental Health Counselor · NPI 1811258809

Kacie D Carroll is a Mental Health Counselor in Fort Smith, Arkansas. Qualified in 2017, 9 years ago. Practices with Center for Psychiatric Wellness, PLLC, an 11-clinician group and works from 2 locations. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

7217 Cameron Park Dr
Fort Smith, AR 72903-6167
Phone: (479) 831-6007
Fax: (479) 782-1242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1340 S Waldron Rd, Fort Smith, AR 72903-2556 — (479) 452-5040

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P2207005 (AR)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1811258809
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2012
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing addressPo Box 23070, Barling, AR 72923-0070

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Center For Psychiatric Wellness, Pllc — 11 clinicians
Accepts Medicare assignment Not indicated

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