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

Individual provider Clinical Social Worker · NPI 1184382475

Kimberly Ann Stauss, PHD is a Mental Health Counselor in Fayetteville, Arkansas. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
22
Licensed in
AR
In the registry since
2021
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

14997 Fisher Rd
Fayetteville, AR 72701-9502
Phone: (479) 435-4034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7101-C (AR)

Record details

NPI number1184382475
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 3, 2021
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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