1. Home
  2. Directory
  3. Arkansas
  4. Manila
  5. Counselor
  6. NPI Profile

MYSTIQUE LEIGH IMLER LPC
NPI 1467840538
Counselor - Professional in Manila, AR

Active since December 24, 2014PECOS EnrolledAccepts Medicare Assignment
603 W FLEEMAN STE 4, MANILA, AR 72442(870) 570-0358(870) 570-0359 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2020, May 11, 2018, May 23, 2017 (3 updates tracked since 2017).

About Mystique Leigh Imler Lpc NPPES

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

MYSTIQUE LEIGH IMLER LPC (NPI 1467840538) is an individual professional provider in Manila, Arkansas, licensed in Arkansas (P1611172) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467840538
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMYSTIQUE LEIGH IMLERCredential: LPC
Location Address603 W FLEEMAN STE 4Manila, AR 72442-9171
Mailing Address603 W Fleeman Ste 4Manila, AR 72442-9171 · (705) 700-3588 · Fax (870) 570-0359
Phone(870) 570-0358
Fax(870) 570-0359
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 24, 2014
Last NPPES UpdateMay 27, 20203 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
✔ NPI 1467840538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P1611172
603 W FLEEMAN STE 4, Manila, AR 72442
Open in Google Maps ↗

Other Identifiers 1

Other5CB23AR · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mystique Leigh Imler Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880178862
PECOS Enrollment IDI20260318000881
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 Mystique Imler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Delta Behavioral Health, LLC
Same address
Mental Health (Including Community Mental Health Center)
603 W FLEEMAN STE 4
Manila, AR 72442
  • Reassigned Medicare billing, Arkansas enrollment
  • 9 clinicians in this Medicare group
NPI 1720637085 (870) 570-0358

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 4

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

MRS. KERI D. SHRABLE
Case Manager/Care Coordinator
603 W FLEEMAN STE 4
MANILA, AR 72442
Mississippi County (870) 930-0397
MRS. CANDY MCMINN
Case Manager/Care Coordinator
603 W FLEEMAN STE 4
MANILA, AR 72442
Mississippi County (870) 570-0358
LAURA CLARK MHPP
Case Manager/Care Coordinator
603 W FLEEMAN STE 4
MANILA, AR 72442
Mississippi County (870) 570-0358
DELTA BEHAVIORAL HEALTH, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
603 W FLEEMAN STE 4
MANILA, AR 72442
Mississippi County (870) 570-0358

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 Mystique Imler's NPI number?

The NPI number for Mystique Imler is 1467840538. It was assigned to this individual provider in the NPPES registry on December 24, 2014.

Where is Mystique Imler located?

Mystique Imler practices at 603 W Fleeman Ste 4, Manila, AR 72442. The listed phone number is (870) 570-0358.

What is Mystique Imler's specialty?

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

Is Mystique Imler enrolled in Medicare?

Yes. Mystique Imler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mystique Imler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mystique Imler reassigns Medicare benefits to Delta Behavioral Health, LLC (Manila, 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 Mystique Imler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mystique Imler accept?

Health plans from Health Advantage and Octave list Mystique Imler 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 Mystique Imler was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.