Lotus Valley Health and Wellness, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LOTUS VALLEY HEALTH AND WELLNESS, LLC

Practice address

1820 Central Ave Ste K
Hot Springs, AR 71901-6898

Phone

(501) 463-6969

Fax

(501) 915-1557

NPI assigned

May 31, 2022

Last updated

May 12, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Terwilliger, LPCNPI 1346368339

Title

Pres/Ceo

Phone

(501) 520-8696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Lotus Valley Health and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lotus Valley Health and Wellness, LLC

  • Mental Health Counselor
  • Hot Springs, AR
  • NPI 1477249456
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Terwilliger, LPC

  • Mental Health Counselor
  • Hot Springs, AR
  • NPI 1346368339
  Medicare reassignment NPD Authorized official
• Lisa Kilcrease, LCSW

  • Clinical Social Worker
  • Monticello, AR
  • NPI 1053439836
  Medicare reassignment NPD
• Ashley Taylor, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
  • NPI 1063054955
  Medicare reassignment NPD
• Tad Christopher Tillemans, M.D.

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1346459765
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1427797265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CRESTVIEW DR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136968",
            "telephone_number": "501-520-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE STE K",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016898",
            "telephone_number": "501-463-6969",
            "fax_number": "501-915-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS VALLEY HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "TERWILLIGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "501-520-8696",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vantriss Long, CCS
• Sarah J Loomis, D.C.
• Stacia Looper
• Jordan Lormor, LPTA
• Lotus Counseling and Behavoiral Health Services LLC
• Lotus Valley Health and Wellness, LLC
• Patria Louis, PHARMD
• Andrea Michelle Lowery
• Michael Lowery, MHPP
• Anna Jean Loyd, CNA

• Multi-Specialty Clinic/Center in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Multi-Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.