Individual provider Active NPI

Lisa A Polo, M.ED.,LPC

  • Professional Counselor
  • Waldron, AR
National Provider Identifier
1548419716
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2303009 Issued in AR
Practice address
5400 Valley View Rd
Waldron, AR 72958-5042
Phone
(940) 443-4039
NPI assigned
Sep 12, 2008
Last updated
Jul 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17510 TX
Professional Counselor 101YP2500X P2303009 AR Primary

Addresses

Primary practice location

5400 Valley View Rd
Waldron, AR 72958-5042

Mailing address

5400 Valley View Rd
Waldron, AR 72958-5042
Phone (940) 443-4039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241113004338 AR Practitioner - Mental Health Counselor 2264966274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
17510TXMDAddiction (Substance Use Disorder) Counselor
P2303009ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients
The Guidance Center - Whole Health Mental Health CurrentSince Aug 26, 2024 Accepting new patients
The Guidance Center - New Center CurrentSince Aug 26, 2024 Accepting new patients

Locations

3111 S 70th St
Fort Smith, AR 72903

2705 Oak Ln
#A
Van Buren, AR 72956
Phone (479) 474-8074

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1548419716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 VALLEY VIEW RD",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729585042",
            "telephone_number": "940-443-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 VALLEY VIEW RD",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729585042",
            "telephone_number": "940-443-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.ED.,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17510",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2303009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldron, AR

Sources for this page

Verify at the official NPI Registry.