BELLA VISTA COUNSELING
NPI 1053146092
Social Worker - Clinical in Bella Vista, AR

Active since September 06, 2024
1801 FOREST HILLS BLVD STE 121, BELLA VISTA, AR 72715(479) 721-3835 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bella Vista Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLA VISTA COUNSELING (NPI 1053146092) is a healthcare organization registered as a clinical in Bella Vista, Arkansas and active in the NPI registry since September 2024. The organization lists Kelly K Wilson, Owner/lcsw, as its authorized official.

NPPES Registry Identity

NPI1053146092
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBELLA VISTA COUNSELING
Location Address1801 FOREST HILLS BLVD STE 121Bella Vista, AR 72715-3070
Mailing Address1801 Forest Hills Blvd Ste 121Bella Vista, AR 72715-3070 · (479) 721-3835
Organization SubpartNo
Authorized OfficialKelly K WilsonOwner/lcsw · (479) 721-3835
Enumeration DateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1053146092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1801 FOREST HILLS BLVD STE 121, Bella Vista, AR 72715

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bella Vista Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bella Vista Counseling, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1902345416
3162 W MARTIN LUTHER KING BLVD STE 13-14
Fayetteville, AR 72704
(479) 935-4834
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bella Vista Counseling's NPI number?

The NPI number for Bella Vista Counseling is 1053146092. It was assigned to this organization in the NPPES registry on September 6, 2024.

Where is Bella Vista Counseling located?

Bella Vista Counseling is located at 1801 Forest Hills Blvd Ste 121, Bella Vista, AR 72715. The listed phone number is (479) 721-3835.

What is Bella Vista Counseling's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Bella Vista Counseling enrolled in Medicare?

Yes. Bella Vista Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bella Vista Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Bella Vista Counseling. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bella Vista Counseling was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.