WHITLEY RICHARDSON
NPI 1659828796
Counselor - Mental Health in Jonesboro, AR

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment
2200 E MATTHEWS AVE, JONESBORO, AR 72401(870) 972-1268(870) 934-0847 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 7, 2024, Feb 2, 2021, Aug 26, 2019 and 1 more (4 updates tracked since 2018).

About Whitley Richardson NPPES

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

WHITLEY RICHARDSON (NPI 1659828796) is an individual mental health provider in Jonesboro, Arkansas, licensed in Arkansas (A1804040) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659828796
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWHITLEY RICHARDSON
Location Address2200 E MATTHEWS AVEJonesboro, AR 72401-4347
Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (866) 972-1268
Fax(870) 934-0847
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 7, 2016
Last NPPES UpdateFebruary 7, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1659828796 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 · A1804040
2200 E MATTHEWS AVE, Jonesboro, AR 72401

Accepted 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

Whitley Richardson 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 ID7416396775
PECOS Enrollment IDI20240418003847
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 Reassignments

2

Medicare enrollment records show Whitley Richardson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
108 N SHACKLEFORD RD
Little Rock, AR 72211
  • Reassigned Medicare billing, Arkansas enrollment
  • 105 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Arkansas enrollment
  • 57 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
87 services87 patients

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.

Social Worker
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Social Worker
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Case Manager/Care Coordinator
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Case Manager/Care Coordinator
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Case Manager/Care Coordinator
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Case Manager/Care Coordinator
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Counselor (Professional)
2200 E MATTHEWS AVE
JONESBORO, AR 72401
Social Worker
2200 E MATTHEWS AVE
JONESBORO, AR 72401

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 Whitley Richardson's NPI number?

The NPI number for Whitley Richardson is 1659828796. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Whitley Richardson located?

Whitley Richardson practices at 2200 E Matthews Ave, Jonesboro, AR 72401. The listed phone number is (870) 972-1268.

What is Whitley Richardson's specialty?

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

Is Whitley Richardson enrolled in Medicare?

Yes. Whitley Richardson 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 organizations bill Medicare for Whitley Richardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitley Richardson reassigns Medicare benefits to 2 organizations: Pain Treatment Centers Of America, PLLC (Little Rock, AR) and Mental Health Specialty Group PA (Durham, NC). Each 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 Whitley Richardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Whitley Richardson 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 4 other insurers list Whitley Richardson 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 Whitley Richardson was last updated on February 7, 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.