ANGELICA YANG
NPI 1790400034
Counselor - Mental Health in Bentonville, AR

Active since October 10, 2022PECOS Enrolled
1732 SE MOBERLY LN, BENTONVILLE, AR 72712(479) 301-9132 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 30, 2023, Mar 3, 2023, Oct 10, 2022 (3 updates tracked since 2022).

About Angelica Yang NPPES

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

ANGELICA YANG (NPI 1790400034) is an individual mental health provider in Bentonville, Arkansas and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bentonville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790400034
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELICA YANG
Location Address1732 SE MOBERLY LNBentonville, AR 72712-9239
Mailing Address1706 S Walton Blvd Unit 835Bentonville, AR 72712-2646 · (479) 301-9132
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 10, 2022
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1790400034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1732 SE MOBERLY LN, Bentonville, AR 72712

Secondary Practice Location 1

Location 12608 SE 5th StBentonville, AR 72712-6734 · Phone (479) 301-9132

Other Identifiers 1

OtherP2209022AR · Lpc License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelica Yang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850872516
PECOS Enrollment IDI20260220003596
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 Angelica Yang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
5905 FOREST PL, SUITE 230
Little Rock, AR 72207
  • Reassigned Medicare billing, Arkansas enrollment
  • 8 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.

Counselor (Mental Health)
1732 SE MOBERLY LN
BENTONVILLE, AR 72712

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 Angelica Yang's NPI number?

The NPI number for Angelica Yang is 1790400034. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Angelica Yang located?

Angelica Yang practices at 1732 SE Moberly Ln, Bentonville, AR 72712. The listed phone number is (479) 301-9132.

What is Angelica Yang's specialty?

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

Is Angelica Yang enrolled in Medicare?

Yes. Angelica Yang is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angelica Yang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Yang reassigns Medicare benefits to Riverstone Wellness Center, PLLC (Little Rock, 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 Angelica Yang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angelica Yang 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 Angelica Yang 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 Angelica Yang was last updated on August 30, 2023. 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.