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AMANDA POLSTON
NPI 1982981866
Counselor - Mental Health in Jonesboro, AR

Active since November 07, 2011PECOS EnrolledAccepts Medicare Assignment
2707 BROWNS LN, JONESBORO, AR 72401(870) 972-4939 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Amanda Polston NPPES

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

AMANDA POLSTON (NPI 1982981866) is an individual mental health provider in Jonesboro, Arkansas, licensed in Arkansas (A1111118) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1982981866
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA POLSTON
Location Address2707 BROWNS LNJonesboro, AR 72401-7213
Mailing Address2707 Browns LnJonesboro, AR 72401-7213 · (870) 972-4939
Phone(870) 972-4939
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 7, 2011
Last NPPES UpdateJanuary 27, 2012
✔ NPI 1982981866 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 · A1111118
2707 BROWNS LN, Jonesboro, AR 72401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Amanda Polston 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 ID7618328212
PECOS Enrollment IDI20240108005920
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 Amanda Polston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arisa Health, Inc.
Same address
Family Medicine
2707 BROWNS LN
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 140 clinicians in this Medicare group
NPI 1760187413 (870) 972-4000

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.

TAMRA THOMAS
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Craighead County (870) 972-4939
CHRISTOPHER LYNN
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Craighead County (870) 972-4939
KAREN E KELLY
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Craighead County (870) 972-4939
SARAH L PRESLEY LPN
Licensed Practical Nurse
2707 BROWNS LN
JONESBORO, AR 72401
Craighead County (870) 972-4939
IVA N LEWIS LMSW
Social Worker
2707 BROWNS LN
JONESBORO, AR 72401
Craighead County (870) 972-4939
JOSHUA BEAU HONEYCUTT
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Craighead County (870) 972-4939
TERRA N CARLSON
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Craighead County (870) 972-4939
JIMMY L GARRETT MHPP
Case Manager/Care Coordinator
2707 BROWNS LN
JONESBORO, AR 72401
Craighead County (870) 972-4939

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 Amanda Polston's NPI number?

The NPI number for Amanda Polston is 1982981866. It was assigned to this individual provider in the NPPES registry on November 7, 2011.

Where is Amanda Polston located?

Amanda Polston practices at 2707 Browns Ln, Jonesboro, AR 72401. The listed phone number is (870) 972-4939.

What is Amanda Polston's specialty?

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

Is Amanda Polston enrolled in Medicare?

Yes. Amanda Polston 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 Amanda Polston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Polston reassigns Medicare benefits to Arisa Health, Inc. (Jonesboro, 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 Amanda Polston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Polston accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Amanda Polston 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 Amanda Polston was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.