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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: July 26, 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
Phone(870) 946-4505
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
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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

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

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.

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.

MID-DELTA HEALTH SYSTEMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1940 S WHITEHEAD DR
DE WITT, AR 72042
Arkansas County (870) 946-4505
LAURA ANN HANNUM APRN
Nurse Practitioner (Family)
1940 S WHITEHEAD DR
DE WITT, AR 72042
Arkansas County (870) 946-4505
DR. WALLACE LEE TRACY M.D.
Family Medicine
1940 S WHITEHEAD DR
DE WITT, AR 72042
Arkansas County (870) 946-4505
TRACY FAMILY PRACTICE CLINIC PA
Preferred Provider Organization
1940 S WHITEHEAD DR
DE WITT, AR 72042
Arkansas County (870) 946-4505

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.

When was this NPI record last updated?

The NPPES record for Lori Wilson was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.