INTEGRATED WELLNESS AND MENTAL HEALTH, LLC
NPI 1053879775
Nurse Practitioner - Psychiatric/Mental Health in Harrison, AR

Active since March 12, 2019CLIA 04D2265403 · Waiver
303 W NEWMAN AVE, HARRISON, AR 72601(479) 318-2828 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2020, Mar 20, 2019, Mar 12, 2019 (3 updates tracked since 2019).

About Integrated Wellness And Mental Health, Llc NPPES

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

INTEGRATED WELLNESS AND MENTAL HEALTH, LLC (NPI 1053879775), doing business as Iwamh, is a healthcare organization registered as a psychiatric/mental health in Harrison, Arkansas and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through July 26, 2028, maintains 2 additional practice locations, and lists Zachariah Hodgson, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1053879775
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINTEGRATED WELLNESS AND MENTAL HEALTH, LLC
Location Address303 W NEWMAN AVEHarrison, AR 72601-5839
Mailing Address401 N 8th St Unit 58Rogers, AR 72757-7148 · (479) 469-0313 · Fax (497) 769-3000
Organization SubpartNo
Authorized OfficialZachariah HodgsonOwner/administrator · (479) 469-0313
Enumeration DateMarch 12, 2019
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1053879775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
303 W NEWMAN AVE, Harrison, AR 72601

Other Names 1

Doing Business AsIwamh

Secondary Practice Locations 2

Location 1700 N 40th St Ste BSpringdale, AR 72762-0633 · Phone (479) 318-2828 · Fax (479) 318-2683
Location 24200 Jenny Lind Rd Ste CFort Smith, AR 72901-7632 · Phone (479) 318-2828

Other Identifiers 3

Medicaid203270758AR
Medicaid243164762AR
Medicaid333671002AR

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Wellness And Mental Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Integrated Wellness And Mental Health, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1881384949
303 W NEWMAN AVE
Harrison, AR 72601
(479) 318-2828
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316624455
303 W NEWMAN AVE
Harrison, AR 72601
(479) 318-2828
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366682494
303 W NEWMAN AVE
Harrison, AR 72601
(479) 318-2828
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841911831
303 W NEWMAN AVE
Harrison, AR 72601
(479) 318-2828
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154131431
700 N 40TH ST STE B
Springdale, AR 72762
(479) 318-2828
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1164399424
700 N 40TH ST STE B
Springdale, AR 72762
(479) 318-2828
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1841029253
700 N 40TH ST STE B
Springdale, AR 72762
(479) 318-2828
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1417843160
700 N 40TH ST STE B
Springdale, AR 72762
(479) 318-2828
✔ PECOS✔ Accepts Medicare60 mi
Psychiatry
NPI 1043241334
7019 S T ST
Fort Smith, AR 72903
(479) 494-1980
✔ PECOS✔ Accepts Medicare92 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2265403

Integrated Wellness And Mental Health · Springdale, AR
Active · expires Jul 26, 2028
CLIA Number04D2265403
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2026
Certificate Expiration DateJuly 26, 2028
Laboratory DirectorMs. Heather Hodgson
Laboratory Phone(479) 318-2828
Laboratory LocationIntegrated Wellness And Mental Health700 N 40th Street, Suite B, Springdale, AR 72762
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Integrated Wellness And Mental Health, LLC's NPI number?

The NPI number for Integrated Wellness And Mental Health, LLC is 1053879775. It was assigned to this organization in the NPPES registry on March 12, 2019. The provider is doing business as Iwamh.

Where is Integrated Wellness And Mental Health, LLC located?

Integrated Wellness And Mental Health, LLC is located at 303 W Newman Ave, Harrison, AR 72601. The listed phone number is (479) 318-2828.

What is Integrated Wellness And Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Integrated Wellness And Mental Health, LLC enrolled in Medicare?

Yes. Integrated Wellness And Mental Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Wellness And Mental Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Wellness And Mental Health, LLC. 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. The largest specialties are Nurse Practitioner (8) and Psychiatry (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Integrated Wellness And Mental Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2265403) is associated with this NPI, valid through July 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Integrated Wellness And Mental Health, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Integrated Wellness And Mental Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrated Wellness And Mental Health, LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.