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WILLIE GULLEY
NPI 1134512577
Counselor - Professional in Little Rock, AR

Active since March 10, 2015PECOS Enrolled
5918 LEE AVE, LITTLE ROCK, AR 72205(501) 663-2199 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Willie Gulley NPPES

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

WILLIE GULLEY (NPI 1134512577) is an individual professional provider in Little Rock, Arkansas, licensed in Arkansas (P2506005) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1134512577
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWILLIE GULLEY
Location Address5918 LEE AVELittle Rock, AR 72205-3326
Mailing Address5918 Lee AveLittle Rock, AR 72205-3326 · (501) 663-2199
Phone(501) 663-2199
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 10, 2015
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1134512577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P2506005
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
5918 LEE AVE, Little Rock, AR 72205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willie Gulley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315405362
PECOS Enrollment IDI20260819003901
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 Willie Gulley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chenal Family Therapy, Plc
2.7 mi
Mental Health
10311 W MARKHAM ST
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 94 clinicians in this Medicare group
NPI 1356604219 (501) 781-2230

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.

CRYSTAL ANN MCMULLEN
Counselor (Mental Health)
5918 LEE AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 669-2199
BEVERLY BARNES
Case Manager/Care Coordinator
5918 LEE AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 663-2199
KATHY EDWARDS MHP
Counselor (Mental Health)
5918 LEE AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 663-2199
CORTEZ BELL
Case Manager/Care Coordinator
5918 LEE AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 231-5264
LAUREN TEAL HELTON LAC
Counselor (Mental Health)
5918 LEE AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 663-2199
CHAD EVERET WEST
Counselor (Mental Health)
5918 LEE AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 663-2199
MR. ED LEEVADOR BECKER
Case Manager/Care Coordinator
5918 LEE AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 663-2199
KATHERINE ANN CARPENTER
Social Worker
5918 LEE AVE
LITTLE ROCK, AR 72205
Pulaski County (501) 663-2199

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 Willie Gulley's NPI number?

The NPI number for Willie Gulley is 1134512577. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Willie Gulley located?

Willie Gulley practices at 5918 Lee Ave, Little Rock, AR 72205. The listed phone number is (501) 663-2199.

What is Willie Gulley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Willie Gulley enrolled in Medicare?

Yes. Willie Gulley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Willie Gulley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willie Gulley reassigns Medicare benefits to Chenal Family Therapy, Plc (Little Rock, AR). 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 Willie Gulley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willie Gulley 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 3 other insurers list Willie Gulley 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 Willie Gulley was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.