JENNIFER GILLIS
NPI 1861846974
Counselor - Professional in Bryant, AR

Active since April 15, 2016Opted out of Medicare · through Jan 1, 2028
200 NW 4TH ST, BRYANT, AR 72022(501) 653-5061 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Gillis NPPES

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

JENNIFER GILLIS (NPI 1861846974) is an individual professional provider in Bryant, Arkansas, licensed in Arkansas (A1710300) and active in the NPI registry since April 2016. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Rogers.

NPPES Registry Identity

NPI1861846974
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJENNIFER GILLIS
Location Address200 NW 4TH STBryant, AR 72022
Mailing Address15401 Chenal Pkwy Apt 3208Little Rock, AR 72211-2566 · (501) 428-2287
Sole ProprietorNo
Enumeration DateApril 15, 2016
Last NPPES UpdateAugust 23, 2019
NPI 1861846974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AR · A1710300
Also ListedCounselorTaxonomy 101Y00000X
200 NW 4TH ST, Bryant, AR 72022

Secondary Practice Location 1

Location 11200 W Walnut StRogers, AR 72756-3521 · Phone (479) 631-9996 · Fax (479) 631-1782

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jennifer Gillis has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
200 NW 4TH ST
BRYANT, AR 72022
Speech-Language Pathologist
200 NW 4TH ST
BRYANT, AR 72022
Occupational Therapist
200 NW 4TH ST
BRYANT, AR 72022
Marriage & Family Therapist
200 NW 4TH ST
BRYANT, AR 72022
Speech-Language Pathologist
200 NW 4TH ST
BRYANT, AR 72022
Occupational Therapy Assistant
200 NW 4TH ST
BRYANT, AR 72022
Occupational Therapy Assistant
200 NW 4TH ST
BRYANT, AR 72022
Occupational Therapist (Pediatrics)
200 NW 4TH ST
BRYANT, AR 72022

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 Jennifer Gillis's NPI number?

The NPI number for Jennifer Gillis is 1861846974. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Jennifer Gillis located?

Jennifer Gillis practices at 200 NW 4th St, Bryant, AR 72022. The listed phone number is (501) 653-5061.

What is Jennifer Gillis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Gillis enrolled in Medicare?

No. Jennifer Gillis has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jennifer Gillis accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Jennifer Gillis 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 Jennifer Gillis was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.