PAUL W. PETERSON LLC
NPI 1790675908
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bentonville, AR
About Paul W. Peterson Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAUL W. PETERSON LLC (NPI 1790675908) is a healthcare organization registered as a mental health (including community mental health center) in Bentonville, Arkansas and active in the NPI registry since July 2025. The organization lists Paul Peterson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paul W. Peterson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Paul W. Peterson LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Paul W. Peterson LLC's NPI number?
The NPI number for Paul W. Peterson LLC is 1790675908. It was assigned to this organization in the NPPES registry on July 8, 2025.
Where is Paul W. Peterson LLC located?
Paul W. Peterson LLC is located at 701 NW Mcnelly Rd Ste 9, Bentonville, AR 72712. The listed phone number is (501) 260-7324.
What is Paul W. Peterson LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Paul W. Peterson LLC enrolled in Medicare?
Yes. Paul W. Peterson LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Paul W. Peterson LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Paul W. Peterson LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Paul W. Peterson LLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Paul W. Peterson Llc · NPI 1790675908
Mental Health (Including Community Mental Health Center) organization in Bentonville, Arkansas. Organization record, active in the CMS NPPES registry since July 8, 2025.
## Identity
- **NPI:** 1790675908 (Entity type: Organization)
- **Enumerated:** July 8, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Paul Peterson, OWNER
## Practice location
- **Address:** 701 NW MCNELLY RD STE 9, Bentonville, AR 72712-9160
- **Phone:** (501) 260-7324
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790675908) · Data from the CMS NPPES public registry.