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

Kelly L Cowan, LPC

Individual provider Mental Health Counselor · NPI 1700302734

Kelly L Cowan, LPC is a Mental Health Counselor in Bentonville, Arkansas. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Arkansas, Michigan, Missouri and Tennessee.

Years since qualifying
9
Licensed in
AR, MI, MO, TN
In the registry since
2017
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1202 NE McClain Rd Ste 144
Bentonville, AR 72712-3875
Phone: (479) 222-0393
Fax: (888) 375-1270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P2005013 (AR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401224121 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 7675 (TN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2021033145 (MO)

Record details

NPI number1700302734
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedAugust 22, 2017
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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