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AMANDA MARIE WILLIS LPC
NPI 1407466923
Counselor - Professional in Mountain Home, AR

Active since August 10, 2020PECOS Enrolled
400 S COLLEGE, STE 2, MOUNTAIN HOME, AR 72653(870) 425-1041(870) 425-1049 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Marie Willis Lpc NPPES

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

AMANDA MARIE WILLIS LPC (NPI 1407466923) is an individual professional provider in Mountain Home, Arkansas and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407466923
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA MARIE WILLISCredential: LPC
Location Address400 S COLLEGE, STE 2Mountain Home, AR 72653-3143
Mailing Address1815 Pleasant Grove RdJonesboro, AR 72405-7870 · (870) 933-6886 · Fax (870) 336-1339
Phone(870) 425-1041
Fax(870) 425-1049
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 10, 2020
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedAugust 10, 2020
✔ NPI 1407466923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
400 S COLLEGE, Mountain Home, AR 72653
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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)

Amanda Marie Willis Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648613505
PECOS Enrollment IDI20240207002505
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 Amanda Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Families, Inc Of Arkansas
Same address
Mental Health (Including Community Mental Health Center)
400 S COLLEGE ST STE 2
Mountain Home, AR 72653
  • Reassigned Medicare billing, Arkansas enrollment
  • 134 clinicians in this Medicare group
NPI 1679769384 (870) 425-1041

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 Amanda Willis's NPI number?

The NPI number for Amanda Willis is 1407466923. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Amanda Willis located?

Amanda Willis practices at 400 S College Ste 2, Mountain Home, AR 72653. The listed phone number is (870) 425-1041.

What is Amanda Willis's specialty?

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

Is Amanda Willis enrolled in Medicare?

Yes. Amanda Willis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Willis reassigns Medicare benefits to Families, Inc Of Arkansas (Mountain Home, 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 Amanda Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Willis 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 Amanda Willis 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 Amanda Willis was last updated on December 29, 2023. 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.