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DEBORAH WALLIS LAC
NPI 1790908374
Counselor - Mental Health in Nashville, AR

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
1575 HIGHWAY 371 W, NASHVILLE, AR 71852(870) 451-9742(870) 451-9752 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deborah Wallis Lac NPPES

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

DEBORAH WALLIS LAC (NPI 1790908374) is an individual mental health provider in Nashville, Arkansas, licensed in Arkansas (A0302010) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1790908374
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEBORAH WALLISCredential: LAC
Location Address1575 HIGHWAY 371 WNashville, AR 71852-7598
Mailing Address127 Woodruff LnNashville, AR 71852-7542 · (870) 557-1094
Phone(870) 451-9742
Fax(870) 451-9752
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790908374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A0302010
1575 HIGHWAY 371 W, Nashville, AR 71852
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Deborah Wallis 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.

PECOS PAC ID9830542570
PECOS Enrollment IDI20240129003533
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 Deborah Wallis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Counseling Clinic, Inc.
  • Reassigned Medicare billing, Arkansas enrollment
  • 32 clinicians in this Medicare group
No phone listed

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 13

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

MS. SHARON KAY RITZ MHPP
Case Manager/Care Coordinator
1575 HIGHWAY 371 W
NASHVILLE, AR 71852
Howard County (870) 451-9742
CHRIS TERRELL CARRIGAN
Case Manager/Care Coordinator
1575 HIGHWAY 371 W
NASHVILLE, AR 71852
Howard County (870) 451-9742
TERESA MILLER MHPP
Case Manager/Care Coordinator
1575 HIGHWAY 371 W
NASHVILLE, AR 71852
Howard County (870) 451-9742
FELICIA DENISE BROWN MHPP
Case Manager/Care Coordinator
1575 HIGHWAY 371 W
NASHVILLE, AR 71852
Howard County (870) 451-9742
MARY DIANE SCHOOLEY MHPPLPN
Case Manager/Care Coordinator
1575 HIGHWAY 371 W
NASHVILLE, AR 71852
Howard County (870) 451-9742
MRS. JENNIFER SUZANNE FINCHER MHPP
Case Manager/Care Coordinator
1575 HIGHWAY 371 W
NASHVILLE, AR 71852
Howard County (870) 451-9742
HEATHER D'AUHN BETH MHPP
Case Manager/Care Coordinator
1575 HIGHWAY 371 W
NASHVILLE, AR 71852
Howard County (870) 451-9742
MS. MARIA HELENA BARANDIARAN M.A.
Psychologist
1575 HIGHWAY 371 W
NASHVILLE, AR 71852
Howard County (870) 451-9742

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 Deborah Wallis's NPI number?

The NPI number for Deborah Wallis is 1790908374. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Deborah Wallis located?

Deborah Wallis practices at 1575 Highway 371 W, Nashville, AR 71852. The listed phone number is (870) 451-9742.

What is Deborah Wallis's specialty?

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

Is Deborah Wallis enrolled in Medicare?

Yes. Deborah Wallis 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 Deborah Wallis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Wallis reassigns Medicare benefits to Cornerstone Counseling Clinic, Inc. (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 Deborah Wallis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deborah Wallis 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 Deborah Wallis 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 Deborah Wallis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.