MRS. LORI ANN WILSON LPC
NPI 1699499111
Counselor - Professional in De Witt, AR

Active since September 28, 2022PECOS EnrolledAccepts Medicare Assignment
1940 S WHITEHEAD DR, DE WITT, AR 72042(870) 946-4505(870) 946-3357 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Sep 10, 2025, Mar 31, 2025 and 2 more (5 updates tracked since 2022).

About Mrs. Lori Ann Wilson Lpc NPPES

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

MRS. LORI ANN WILSON LPC (NPI 1699499111) is an individual professional provider in De Witt, Arkansas, licensed in Arkansas (P2503023) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699499111
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. LORI ANN WILSONCredential: LPC
Location Address1940 S WHITEHEAD DRDe Witt, AR 72042-2906
Mailing Address245 Madison StClarendon, AR 72029-2706 · (870) 747-3381 · Fax (870) 747-5555
Fax(870) 946-3357
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 28, 2022
Last NPPES UpdateMarch 11, 20265 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1699499111 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 · P2503023
1940 S WHITEHEAD DR, De Witt, AR 72042

Secondary Practice Locations 2

Location 1245 Madison StClarendon, AR 72029-2706 · Phone (870) 747-3381 · Fax (870) 747-5555
Location 22022 S Buerkle StStuttgart, AR 72160-6508 · Phone (870) 659-2600 · Fax (870) 659-2601

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

Mrs. Lori Ann Wilson 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 ID3779092242
PECOS Enrollment IDI20250604004433
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 Lori Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1012 E 22ND ST
Stuttgart, AR 72160
  • Reassigned Medicare billing, Arkansas enrollment
  • 11 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.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
1940 S WHITEHEAD DR
DE WITT, AR 72042
Nurse Practitioner (Family)
1940 S WHITEHEAD DR
DE WITT, AR 72042
Family Medicine
1940 S WHITEHEAD DR
DE WITT, AR 72042
Preferred Provider Organization
1940 S WHITEHEAD DR
DE WITT, AR 72042

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 Lori Wilson's NPI number?

The NPI number for Lori Wilson is 1699499111. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Lori Wilson located?

Lori Wilson practices at 1940 S Whitehead Dr, De Witt, AR 72042. The listed phone number is (870) 946-4505.

What is Lori Wilson's specialty?

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

Is Lori Wilson enrolled in Medicare?

Yes. Lori Wilson 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 Lori Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Wilson reassigns Medicare benefits to Mid-Delta Health Systems, Inc. (Stuttgart, 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 Lori Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Wilson accept?

Health plans from Health Advantage and Octave list Lori Wilson 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 Lori Wilson was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.