COURTNEY BACON-LATINA LPC
NPI 1922649532
Counselor - Mental Health in Malvern, AR
About Courtney Bacon-latina Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY BACON-LATINA LPC (NPI 1922649532) is an individual mental health provider in Malvern, Arkansas, licensed in Arkansas (P2203015) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Courtney Bacon-latina 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 Courtney Bacon-latina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Malvern, AR 72104
- Reassigned Medicare billing, Arkansas enrollment
- 16 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MALVERN, AR 72104
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 Courtney Bacon-latina's NPI number?
The NPI number for Courtney Bacon-latina is 1922649532. It was assigned to this individual provider in the NPPES registry on October 4, 2019.
Where is Courtney Bacon-latina located?
Courtney Bacon-latina practices at 829 Halbert St, Malvern, AR 72104. The listed phone number is (501) 332-4400.
What is Courtney Bacon-latina's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Courtney Bacon-latina enrolled in Medicare?
Yes. Courtney Bacon-latina 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 Courtney Bacon-latina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Bacon-latina reassigns Medicare benefits to Tfs Of Gurdon Inc (Malvern, 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 Courtney Bacon-latina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Courtney Bacon-latina 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 Courtney Bacon-latina 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 Courtney Bacon-latina was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Courtney Bacon-Latina, LPC · NPI 1922649532
Mental Health provider in Malvern, Arkansas. Individual provider, active in the CMS NPPES registry since October 4, 2019.
## Identity
- **NPI:** 1922649532 (Entity type: Individual)
- **Enumerated:** October 4, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** P2203015 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 829 HALBERT ST, Malvern, AR 72104-2607
- **Phone:** (501) 332-4400 · **Fax:** (501) 332-4403
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Tfs Of Gurdon Inc (NPI 1639180805, Malvern, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1922649532) · Data from the CMS NPPES public registry.