COURTNEY BACON-LATINA LPC
NPI 1922649532
Counselor - Mental Health in Malvern, AR

Active since October 04, 2019PECOS EnrolledAccepts Medicare Assignment
829 HALBERT ST, MALVERN, AR 72104(501) 332-4400(501) 332-4403 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1922649532
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOURTNEY BACON-LATINACredential: LPC
Location Address829 HALBERT STMalvern, AR 72104-2607
Mailing Address829 Halbert StMalvern, AR 72104-2607 · (501) 332-4400 · Fax (501) 332-4403
Fax(501) 332-4403
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 4, 2019
Last NPPES UpdateApril 1, 2022
NPPES CertifiedApril 1, 2022
NPI 1922649532 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 · P2203015
829 HALBERT ST, Malvern, AR 72104

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID840642492
PECOS Enrollment IDI20240118003523
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.

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.

Case Manager/Care Coordinator
829 HALBERT ST
MALVERN, AR 72104
Case Manager/Care Coordinator
829 HALBERT ST
MALVERN, AR 72104
Case Manager/Care Coordinator
829 HALBERT ST
MALVERN, AR 72104
Psychiatry & Neurology (Psychiatry)
829 HALBERT ST
MALVERN, AR 72104
Case Manager/Care Coordinator
829 HALBERT ST
MALVERN, AR 72104
Case Manager/Care Coordinator
829 HALBERT ST, THERAPEUTIC FAMILY SERVICES
MALVERN, AR 72104
Licensed Practical Nurse
829 HALBERT ST
MALVERN, AR 72104
Case Manager/Care Coordinator
829 HALBERT ST
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.

What insurance does Courtney Bacon-latina 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 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.