MRS. COURTNIE DYAN ORTIZ MOWERY MS, LPC - NPI 1215633524

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Mrs. Courtnie Dyan Ortiz Mowery Ms, Lpc NPPES

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

MRS. COURTNIE DYAN ORTIZ MOWERY MS, LPC (NPI 1215633524) is an individual mental health provider in Rogers, Arkansas, licensed in Arkansas (P2302005) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1215633524

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. COURTNIE DYAN ORTIZ MOWERYCredential: MS, LPC

Location Address2113 S 54TH ST STE 5Rogers, AR 72758-8169

Mailing Address2113 S 54th St Ste 5Rogers, AR 72758-8169 · (479) 903-0070

Phone(479) 903-0070

Sole ProprietorYes

Enumeration DateFebruary 7, 2023

NPPES CertifiedDecember 15, 2022

✔ NPI 1215633524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AR · P2302005

2113 S 54TH ST STE 5, Rogers, AR 72758

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Other Identifiers 1

OtherP2302005AR · Arkansas Board Of Examiners In Counseling (lpc)

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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Courtnie Dyan Ortiz Mowery Ms, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2024 through February 13, 2026.

Opt-Out Effective DateFebruary 13, 2024

Opt-Out In Effect ThroughFebruary 13, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

JENAE TURLEY

Counselor (Professional)