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ANNA WALKER WILLOUGHBY LAC
NPI 1700366382
Counselor in Osceola, AR

Active since August 14, 2018PECOS Enrolled
3201 W KEISER, OSCEOLA, AR 72370(870) 622-0592(870) 622-0782 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2020, Sep 10, 2018, Aug 14, 2018 (3 updates tracked since 2018).

About Anna Walker Willoughby Lac NPPES

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

ANNA WALKER WILLOUGHBY LAC (NPI 1700366382) is an individual counselor in Osceola, Arkansas and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Osceola, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1700366382
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameANNA WALKER WILLOUGHBYCredential: LAC
Location Address3201 W KEISEROsceola, AR 72370-3467
Mailing Address1815 Pleasant Grove RoadJonesboro, AR 72405-7870 · (870) 933-6886 · Fax (870) 933-9395
Phone(870) 622-0592
Fax(870) 622-0782
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2018
Last NPPES UpdateAugust 25, 20203 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1700366382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
3201 W KEISER, Osceola, AR 72370
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Other Names 1

Other Name (5)Anna Marilyn Willoughby

Secondary Practice Location 1

Location 13201 W Keiser AveOsceola, AR 72370-3467 · Phone (870) 622-0592 · Fax (870) 622-0782

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Walker Willoughby Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911489455
PECOS Enrollment IDI20260304002754
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 Anna Willoughby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Changes Behavioral Health, LLC
54 mi
Community/Behavioral Health
204 MISSISSIPPI ST S
Wynne, AR 72396
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
NPI 1114260486 (870) 208-8499

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDREY DENEAN PARKER LAC
Counselor
3201 W KEISER
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
MR. RANDALL SCOTT BURCHAM MSSW LCSW
Social Worker (Clinical)
3201 W KEISER
OSCEOLA, AR 72370
Mississippi County (870) 622-0592
RICHARD J. BRYCE QBHP
Case Manager/Care Coordinator
3201 W KEISER
OSCEOLA, AR 72370
Mississippi County (870) 622-0595

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 Anna Willoughby's NPI number?

The NPI number for Anna Willoughby is 1700366382. It was assigned to this individual provider in the NPPES registry on August 14, 2018. The provider is also known as Anna Marilyn Willoughby.

Where is Anna Willoughby located?

Anna Willoughby practices at 3201 W Keiser, Osceola, AR 72370. The listed phone number is (870) 622-0592.

What is Anna Willoughby's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Anna Willoughby enrolled in Medicare?

Yes. Anna Willoughby is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Willoughby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Willoughby reassigns Medicare benefits to Changes Behavioral Health, LLC (Wynne, 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 Anna Willoughby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Willoughby 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 3 other insurers list Anna Willoughby 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 Anna Willoughby was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.