JEFFREY L MITCHELL – Counselor, NPI 1114307188

JEFFREY L MITCHELL is a healthcare provider. based in Bentonville, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. P1804059 (AR). The NPI Number for JEFFREY L MITCHELL is 1114307188

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY L MITCHELL
NPI
1114307188
Phone
(479) 464-1060
Address
602 N WALTON BLVD
Enumeration Date
4 June 2015
Last Update Date
5 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8707015141
Graduation Year
2014 (12 years ago)
PAC ID
2365894110
Group Practice PAC ID
4183779226
Professional Enrollment ID
I20240117004511
Address ID
AR726534423MO353XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

Provider Addresses for JEFFREY L MITCHELL

  • 602 N WALTON BLVD

    BENTONVILLE, AR 727124576

    Phone: (479) 464-1060

    Type: Location

  • 315 W 6TH ST

    MOUNTAIN HOME, AR 726533509

    Phone: (870) 425-8642

    Type: Mailing

  • 353 E 8TH ST

    MOUNTAIN HOME, AR 726534423

    Phone: (870) 701-5141

    Fax: (870) 701-5177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240117004511IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183779226View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Clinical Social WorkerAR
Nurse PractitionerAR
Clinical Social WorkerAR
Clinical Social WorkerAR
-AR
Mental Health CounselorAR
P S Y C H I A T R YAR
Clinical Social WorkerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I cross-check JEFFREY L MITCHELL using NPI 1114307188?
NPI 1114307188 belongs to JEFFREY L MITCHELL; compare other details if you need extra assurance.
Is JEFFREY L MITCHELL shown as active in public data?
Registry records indicate JEFFREY L MITCHELL maintains an active NPI.
How would a patient describe JEFFREY L MITCHELL's focus?
For JEFFREY L MITCHELL, the primary taxonomy reads as Counselor. Clinical services aligned with this taxonomy classification.
Is JEFFREY L MITCHELL associated with Bentonville?
Public fields place JEFFREY L MITCHELL around Bentonville, Arkansas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JEFFREY L MITCHELL is noted as June 4, 2015 where the registry provides it.

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