CASEY J MYERS – Professional Counselor, NPI 1366709347

CASEY J MYERS is a healthcare provider. based in Benton, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. P1903039 (AR). The NPI Number for CASEY J MYERS is 1366709347

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CASEY J MYERS
NPI
1366709347
Phone
(501) 315-4224
Address
307 E SEVIER ST
Enumeration Date
16 April 2012
Deactivation Date
2 February 2026
Reactivation Date
6 February 2026
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797854083
Graduation Year
2016 (10 years ago)
PAC ID
1951836006
Group Practice PAC ID
9032433222
Professional Enrollment ID
I20241126001425
Address ID
AR720343651CO1055XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

Provider Addresses for CASEY J MYERS

  • 307 E SEVIER ST

    BENTON, AR 720153934

    Phone: (501) 315-4224

    Fax: (501) 776-0411

    Type: Mailing

  • 1701 CENTERVIEW DR STE 200

    LITTLE ROCK, AR 722114312

    Phone: (501) 208-1223

    Fax: (501) 833-5012

    Type: Mailing

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: 2024-11-26

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
I20241126001425IMental 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 72015)

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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: 9032433222View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Mental Health CounselorAR
Mental Health CounselorAR
Clinical Social WorkerAR
Mental Health CounselorAR
Mental Health CounselorAR
Mental Health CounselorAR
Mental Health CounselorAR

Reviews

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Frequently asked questions

How do I look up CASEY J MYERS by NPI?
Use NPI 1366709347 when you need to reference CASEY J MYERS in forms, claims, or directories.
Is CASEY J MYERS's NPI currently valid?
The extract we use shows CASEY J MYERS as active.
What kind of provider is CASEY J MYERS?
The page reflects Professional Counselor for CASEY J MYERS. Clinical services aligned with this taxonomy classification.
Where does public data place CASEY J MYERS?
The snapshot lists Benton, Arkansas for CASEY J MYERS; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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