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MR. WOODROW WILSON III LPC
NPI 1992087589
Counselor - Professional in Jonesboro, AR

Active since September 09, 2011PECOS Enrolled
3305 E HIGHLAND DR STE B, JONESBORO, AR 72401(870) 520-5014(870) 520-5015 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 26, 2025, Dec 4, 2024, Aug 26, 2020 (3 updates tracked since 2020).

About Mr. Woodrow Wilson Iii Lpc NPPES

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

MR. WOODROW WILSON III LPC (NPI 1992087589) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P1012081) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992087589
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WOODROW WILSON IIICredential: LPC
Location Address3305 E HIGHLAND DR STE BJonesboro, AR 72401-6491
Mailing AddressPo Box 11064Fayetteville, AR 72703-1001 · (870) 520-5014
Phone(870) 520-5014
Fax(870) 520-5015
Sole ProprietorNo
Enumeration DateSeptember 9, 2011
Last NPPES UpdateJune 26, 20253 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
✔ NPI 1992087589 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 · P1012081
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3305 E HIGHLAND DR STE B, Jonesboro, AR 72401
Open in Google Maps ↗

Other Identifiers 1

Medicaid228145719AR

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 (PECOS)

Mr. Woodrow Wilson Iii Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Woodrow Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Logan Centers, Inc.
Same address
Mental Health (Including Community Mental Health Center)
3305 E HIGHLAND DR STE B
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 10 clinicians in this Medicare group
NPI 1932119187 (870) 520-5014

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 7

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

JANNIE TACKETT LPC
Counselor (Professional)
3305 E HIGHLAND DR STE B
JONESBORO, AR 72401
Craighead County (870) 520-5015
MRS. TAUSHA L HELTON LMSW
Social Worker
3305 E HIGHLAND DR STE B
JONESBORO, AR 72401
Craighead County (870) 351-0144
HANNAH MORGAN STONE LAC
Counselor (Mental Health)
3305 E HIGHLAND DR STE B
JONESBORO, AR 72401
Craighead County (870) 520-5014
TAYLOR NICOLE BLANSETT LMSW
Social Worker
3305 E HIGHLAND DR STE B
JONESBORO, AR 72401
Craighead County (870) 520-5014
ABBEY JEWELL COX LMSW
Social Worker
3305 E HIGHLAND DR STE B
JONESBORO, AR 72401
Craighead County (870) 520-5014
LINDA MICHELLE RHODES LPC
Counselor (Professional)
3305 E HIGHLAND DR STE B
JONESBORO, AR 72401
Craighead County (870) 520-5014
THE LOGAN CENTERS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
3305 E HIGHLAND DR STE B
JONESBORO, AR 72401
Craighead County (870) 520-5014

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 Woodrow Wilson's NPI number?

The NPI number for Woodrow Wilson is 1992087589. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Woodrow Wilson located?

Woodrow Wilson practices at 3305 E Highland Dr Ste B, Jonesboro, AR 72401. The listed phone number is (870) 520-5014.

What is Woodrow Wilson's specialty?

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

Is Woodrow Wilson enrolled in Medicare?

Yes. Woodrow Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Woodrow Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Woodrow Wilson reassigns Medicare benefits to The Logan Centers, 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 Woodrow Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Woodrow Wilson 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 Woodrow Wilson 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 Woodrow Wilson was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.