JASON S WILLYERD LAC
NPI 1710201199
Counselor - Professional in Mesa, AZ
About Jason S Willyerd Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON S WILLYERD LAC (NPI 1710201199) is an individual professional provider in Mesa, Arizona, licensed in Arizona (LPC-19378) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Jason S Willyerd Lac 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.
Medicare Billing Reassignment
Medicare enrollment records show Jason Willyerd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jason Willyerd's NPI number?
The NPI number for Jason Willyerd is 1710201199. It was assigned to this individual provider in the NPPES registry on March 15, 2010.
Where is Jason Willyerd located?
Jason Willyerd practices at 2500 S Power Rd Ste 120, Mesa, AZ 85209. The listed phone number is (480) 720-8069.
What is Jason Willyerd's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jason Willyerd enrolled in Medicare?
Yes. Jason Willyerd 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 Jason Willyerd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Willyerd reassigns Medicare benefits to Jason Willyerd Counseling LLC (Mesa, AZ). 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 Jason Willyerd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Willyerd accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 2 other insurers list Jason Willyerd 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 Jason Willyerd was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jason S Willyerd, LAC · NPI 1710201199
Professional provider in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since March 15, 2010.
## Identity
- **NPI:** 1710201199 (Entity type: Individual)
- **Enumerated:** March 15, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-19378 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2500 S POWER RD STE 120, Mesa, AZ 85209-6688
- **Phone:** (480) 720-8069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jason Willyerd Counseling LLC (NPI 1609662477, Mesa, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710201199) · Data from the CMS NPPES public registry.