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ALICIA WHEELINGTON PHD
NPI 1124436530
Psychologist - Clinical Child & Adolescent in Fayetteville, AR

Active since July 29, 2014PECOS Enrolled
4171 N CROSSOVER RD, FAYETTEVILLE, AR 72703(479) 443-7105 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alicia Wheelington Phd NPPES

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

ALICIA WHEELINGTON PHD (NPI 1124436530) is an individual clinical child & adolescent provider in Fayetteville, Arkansas, licensed in Texas (38772) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124436530
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameALICIA WHEELINGTONCredential: PHD
Location Address4171 N CROSSOVER RDFayetteville, AR 72703-4591
Mailing Address1935 Medical District DrDallas, TX 75235-7701 · (214) 456-4013
Phone(479) 443-7105
Sole ProprietorNo
Enumeration DateJuly 29, 2014
Last NPPES UpdateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
✔ NPI 1124436530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in TX · 38772
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4171 N CROSSOVER RD, Fayetteville, AR 72703
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Other Names 1

Former Name (1)Alicia Kauffman Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Wheelington Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Wheelington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Health System Of Texas
276 mi
Children
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 157 clinicians in this Medicare group
NPI 1194743013 (214) 456-1900

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOCELYN STEPHANIE CALDERON
Case Manager/Care Coordinator
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703
Washington County (479) 443-6496
MELISSA PICKENS
Case Manager/Care Coordinator
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703
Washington County (479) 494-5700
CHEYENNE BAKER
Case Manager/Care Coordinator
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703
Washington County (479) 443-6496
KELSEY STRUCKHOFF
Case Manager/Care Coordinator
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703
Washington County (479) 443-6496
MACK ALLEN BENTLEY
Counselor
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703
Washington County (479) 521-1532
TAMMIE JACKSON
Case Manager/Care Coordinator
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703
Washington County (479) 521-1427
MISS MELISSA OCHELTREE
Social Worker (School)
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703
Washington County (479) 236-2111
EMILY WHITTEN
Case Manager/Care Coordinator
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703
Washington County (479) 443-6496

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 Alicia Wheelington's NPI number?

The NPI number for Alicia Wheelington is 1124436530. It was assigned to this individual provider in the NPPES registry on July 29, 2014. The provider is also known as Alicia Kauffman Phd.

Where is Alicia Wheelington located?

Alicia Wheelington practices at 4171 N Crossover Rd, Fayetteville, AR 72703. The listed phone number is (479) 443-7105.

What is Alicia Wheelington's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Alicia Wheelington enrolled in Medicare?

Yes. Alicia Wheelington is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alicia Wheelington's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Wheelington reassigns Medicare benefits to Children's Health System Of Texas (Dallas, TX). The 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 Alicia Wheelington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alicia Wheelington was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.