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TRACY ANN PEFFERKORN LPC
NPI 1619007226
Counselor - Mental Health in Fordyce, AR

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
403 FILMORE ST., FORDYCE, AR 71742(870) 313-1579(870) 352-5127 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2024, Jul 21, 2022, Sep 19, 2017 (3 updates tracked since 2017).

About Tracy Ann Pefferkorn Lpc NPPES

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

TRACY ANN PEFFERKORN LPC (NPI 1619007226) is an individual mental health provider in Fordyce, Arkansas, licensed in Arkansas (P1001005) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1619007226
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRACY ANN PEFFERKORNCredential: LPC
Location Address403 FILMORE ST.Fordyce, AR 71742
Mailing Address403 Filmore St.Fordyce, AR 71742 · (870) 313-1579 · Fax (870) 352-5127
Phone(870) 313-1579
Fax(870) 352-5127
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 6, 2007
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
✔ NPI 1619007226 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 · P1001005
403 FILMORE ST., Fordyce, AR 71742
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy Ann Pefferkorn 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 ID3072957711
PECOS Enrollment IDI20240221000998
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.

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 Tracy Pefferkorn's NPI number?

The NPI number for Tracy Pefferkorn is 1619007226. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Tracy Pefferkorn located?

Tracy Pefferkorn practices at 403 Filmore St., Fordyce, AR 71742. The listed phone number is (870) 313-1579.

What is Tracy Pefferkorn's specialty?

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

Is Tracy Pefferkorn enrolled in Medicare?

Yes. Tracy Pefferkorn 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.

What insurance does Tracy Pefferkorn accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Tracy Pefferkorn 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 Tracy Pefferkorn was last updated on May 13, 2024. 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.