Cody Willis, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1402016 Issued in AR

Practice address

1511 Highway 25B
Heber Springs, AR 72543-1701

Phone

(501) 362-9426

Fax

(501) 362-9456

NPI assigned

Nov 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  Medicare reassignment Care Compare group NPD
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Jacksonville, AR
  • NPI 1821802729
  NPD
• Arcare

  • Federally Qualified Health Center (FQHC)
  • White Hall, AR
  • NPI 1982221065
  NPD

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1679754063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 HIGHWAY 25B",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725431701",
            "telephone_number": "501-362-9426",
            "fax_number": "501-362-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Crestwood Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721167663",
            "country_code": "US",
            "telephone_number": "501-712-3392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Race Ave Ste 12",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434237",
            "country_code": "US",
            "telephone_number": "501-712-3392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CODY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1402016",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A0802015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Wildmon, RN
• Kristen L Williams, OTR/L
• Leslie Rose Williams, APRN
• Manichanh Nikki Williams, APN
• Sandra Lynn Williams, LCSW
• Blair Wilson
• Robert Lawrence Wilson, DDS
• Robert Ray Wilson, DDS
• Sinclair Winburn, LCSW
• Ashley M Winter, LPC

• Mental Health Counselor in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.