KERRY RYALL LPC NPI 1851528707

NPI Information

  • NPI: 1851528707
  • Provider Name: KERRY RYALL, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2003 SE WALTON BLVD
    BENTONVILLE, AR
    ZIP 72712
  • Phone: (479) 750-2020

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NPI Details

Kerry Ryall, LPC is a professional counselor in Bentonville, AR with 17 years of experience. Kerry Ryall, LPC NPI is 1851528707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2003 SE WALTON BLVD
BENTONVILLE, AR
ZIP 72712-725
Phone: (479) 750-2020
Fax: (479) 750-4843

The NPI 1851528707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YM0800XCounselorMental Health0111361NEW MEXICONo
3106H00000XMarriage & Family Therapist61118CALIFORNIANo
4101YP2500XCounselorProfessionalP1706315ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M1925MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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