Lori Ann Wilson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2503023 Issued in AR

Practice address

1940 S Whitehead Dr
De Witt, AR 72042-2906

Phone

(870) 946-4505

Fax

(870) 946-3357

NPI assigned

Sep 28, 2022

Last updated

Mar 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Delta Health Systems IncGroup PAC ID 3870574668, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-Delta Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Clarendon, AR
  • NPI 1255346060
  Medicare reassignment Care Compare group NPD
• Mid-Delta Health Systems, Inc.

  dba Lion Clinic

  • Federally Qualified Health Center (FQHC)
  • Clarendon, AR
  • NPI 1679354468
  NPD

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1699499111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MADISON ST",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292706",
            "telephone_number": "870-747-3381",
            "fax_number": "870-747-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S WHITEHEAD DR",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422906",
            "telephone_number": "870-946-4505",
            "fax_number": "870-946-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Madison St",
            "address_purpose": "LOCATION",
            "city": "Clarendon",
            "state": "AR",
            "postal_code": "720292706",
            "country_code": "US",
            "telephone_number": "870-747-3381",
            "fax_number": "870-747-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2022 S Buerkle St",
            "address_purpose": "LOCATION",
            "city": "Stuttgart",
            "state": "AR",
            "postal_code": "721606508",
            "country_code": "US",
            "telephone_number": "870-659-2600",
            "fax_number": "870-659-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2503023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Charlene West, APN
• Kristi Leigh Whitmore, PHARM.D.
• Mary Whitmore, SPEECH THERAPIST
• Wilson Therapy Services, Inc.
• Amy Carole Wilson, PTA
• Wingfield Physical Therapy, LLC
• Jennifer Kate Wingfield, PT

• Professional Counselor in De Witt, AR
• Providers in De Witt, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.