JASON WALLER LPC
NPI 1780987362
Counselor - Professional in Hot Springs, AR
About Jason Waller Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON WALLER LPC (NPI 1780987362) is an individual professional provider in Hot Springs, Arkansas, licensed in Arkansas (P2108017) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hot Springs, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
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 Waller 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.
Medicare Billing Reassignment
Medicare enrollment records show Jason Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 14 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOT SPRINGS, AR 71913
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 Waller's NPI number?
The NPI number for Jason Waller is 1780987362. It was assigned to this individual provider in the NPPES registry on December 21, 2010.
Where is Jason Waller located?
Jason Waller practices at 3634 Central Ave Ste A, Hot Springs, AR 71913. The listed phone number is (501) 547-3763.
What is Jason Waller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jason Waller enrolled in Medicare?
Yes. Jason Waller 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 Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Waller reassigns Medicare benefits to Harbor House Incorporated Of Fort Smith Arkansas (Fort Smith, 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 Jason Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Waller 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 4 other insurers list Jason Waller 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 Waller was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jason Waller, LPC · NPI 1780987362
Professional provider in Hot Springs, Arkansas. Individual provider, active in the CMS NPPES registry since December 21, 2010.
## Identity
- **NPI:** 1780987362 (Entity type: Individual)
- **Enumerated:** December 21, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** P2108017 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3634 CENTRAL AVE STE A, Hot Springs, AR 71913-6472
- **Phone:** (501) 547-3763
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Harbor House Incorporated Of Fort Smith Arkansas (NPI 1922166123, Fort Smith, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 27, 2021
- **Other identifiers:** Other P2108017 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1780987362) · Data from the CMS NPPES public registry.