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CLAYTON WILLIS LAC
NPI 1750004834
Counselor - Mental Health in Rogers, AR

Active since September 22, 2022
1108 POPLAR PL, ROGERS, AR 72756(479) 372-6464(479) 372-6460 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clayton Willis Lac NPPES

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

CLAYTON WILLIS LAC (NPI 1750004834) is an individual mental health provider in Rogers, Arkansas and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1750004834
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLAYTON WILLISCredential: LAC
Location Address1108 POPLAR PLRogers, AR 72756-4249
Mailing Address2809 Forest Home RdJonesboro, AR 72401-5320 · (866) 972-1268
Phone(479) 372-6464
Fax(479) 372-6460
Sole ProprietorYes
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1750004834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1108 POPLAR PL, Rogers, AR 72756
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Other Identifiers 1

Medicaid238703795AR

Other Providers at the Same Location NPPES 9

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

KAYLEE JO HAYES
Social Worker
1108 POPLAR PL
ROGERS, AR 72756
Benton County (479) 372-6464
LIFE STRATEGIES COUNSELING, INC.
Clinic/Center (Adolescent and Children Mental Health)
1108 POPLAR PL
ROGERS, AR 72756
Benton County (479) 372-6464
FELICITY JOHNSON MS, LPC
Counselor (Professional)
1108 POPLAR PL
ROGERS, AR 72756
Benton County (479) 372-6464
MRS. DINAH FRANCES RING PLMSW
Social Worker
1108 POPLAR PL
ROGERS, AR 72756
Benton County (479) 685-7743
JESSICA BOYLLS QBHP
Case Manager/Care Coordinator
1108 POPLAR PL
ROGERS, AR 72756
Benton County (479) 372-6464
DOROTHY ANN ASHMORE LMSW
Social Worker
1108 POPLAR PL
ROGERS, AR 72756
Benton County (479) 372-6464
KAROLINE THOMAS LAC
Counselor (Mental Health)
1108 POPLAR PL
ROGERS, AR 72756
Benton County (479) 372-6464
LINDSEY SUITT LCSW
Social Worker (Clinical)
1108 POPLAR PL
ROGERS, AR 72756
Benton County (479) 372-6464

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 Clayton Willis's NPI number?

The NPI number for Clayton Willis is 1750004834. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is Clayton Willis located?

Clayton Willis practices at 1108 Poplar Pl, Rogers, AR 72756. The listed phone number is (479) 372-6464.

What is Clayton Willis's specialty?

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

When was this NPI record last updated?

The NPPES record for Clayton Willis was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.