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JODIE TIPTON LAC
NPI 1467937664
Counselor - Mental Health in Conway, AR

Active since October 03, 2018Opted out of Medicare · through Mar 5, 2028
2215 E OAK ST STE 1, CONWAY, AR 72032(501) 336-0511(501) 336-4037 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jodie Tipton Lac NPPES

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

JODIE TIPTON LAC (NPI 1467937664) is an individual mental health provider in Conway, Arkansas, licensed in Arkansas (A1808101) and active in the NPI registry since October 2018. She has opted out of Medicare through March 5, 2028.

NPPES Registry Identity

NPI1467937664
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJODIE TIPTONCredential: LAC
Location Address2215 E OAK ST STE 1Conway, AR 72032-4644
Mailing Address2215 E Oak St Ste 1Conway, AR 72032-4644 · (501) 336-0511 · Fax (501) 336-4037
Phone(501) 336-0511
Fax(501) 336-4037
Sole ProprietorNo
Enumeration DateOctober 3, 2018
✔ NPI 1467937664 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 · A1808101
2215 E OAK ST STE 1, Conway, AR 72032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jodie Tipton Lac 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 March 5, 2024 through March 5, 2028.

Opt-Out Effective DateMarch 5, 2024
Opt-Out In Effect ThroughMarch 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

KEISHA HOUSTON LMSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
NATALIE ANN CARROLL LCSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
KRISTINA PIRO PLMSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
LAURA WRIGHT LMSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
LAKISHA K DIXON PLMSW
Social Worker
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
TERESA MAY MHPP
Case Manager/Care Coordinator
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511
ASHLEY RICE QBHP
Case Manager/Care Coordinator
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (417) 353-9061
MADISON JOHNSTON QBHP
Case Manager/Care Coordinator
2215 E OAK ST STE 1
CONWAY, AR 72032
Faulkner County (501) 336-0511

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 Jodie Tipton's NPI number?

The NPI number for Jodie Tipton is 1467937664. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Jodie Tipton located?

Jodie Tipton practices at 2215 E Oak St Ste 1, Conway, AR 72032. The listed phone number is (501) 336-0511.

What is Jodie Tipton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jodie Tipton enrolled in Medicare?

No. Jodie Tipton has opted out of Medicare through March 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jodie Tipton was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.