Individual provider Active NPI

Reagan Villines, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1982418984
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
231939 Issued in AR
Practice address
720 Lexington Ave
Fort Smith, AR 72901-4738
Phone
(479) 910-3169
Fax
(479) 600-5051
NPI assigned
Feb 3, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 231939 AR Primary

Addresses

Primary practice location

720 Lexington Ave
Fort Smith, AR 72901-4738

Mailing address

124 Westchester CT
Hot Springs, AR 71913-7743
Phone (501) 414-6446

Other practice location 1

110 Pearson
Benton, AR 72015-4436
Phone (501) 315-4224

Other identifiers 1

IdentifierTypeStateIssuer
335745758MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address biller@mbwfts.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226002930 AR Practitioner - Nurse Practitioner 5294255808 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cloud Psychiatric Care LLCGroup PAC ID 2163966359, 2 clinicians
Counseling Clinic IncGroup PAC ID 6204885304, 20 clinicians
Pioneer Health Services, PAGroup PAC ID 1254402472, 9 clinicians

Practice addresses (Care Compare)

102 Chinook
Hot Springs National Park, AR 71913-9863
Phone (501) 214-9450

110 Pearson
Benton, AR 72015-4436
Phone (501) 315-4224

147 Section Line Rd
Suite N
Hot Springs, AR 71913-6188
Phone (501) 701-4270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231939ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Psychiatric Care, LLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Mind and Body Wellness, LLC. Psychiatric/Mental Health CurrentSince Mar 30, 2025 Accepting new patients
Counseling Clinic, Inc. CurrentSince Feb 7, 2025 Accepting new patients
Counseling Clinic, Inc CurrentSince Feb 7, 2025 Accepting new patients
Counseling Clinic, Inc PastSince Sep 17, 2023 Accepting new patients
Counseling Clinic, Inc Past Accepting new patients

Locations

110 Pearson
Benton, AR 72015
Phone (501) 315-4224

720 Lexington Ave
Fort Smith, AR 72901
Phone (479) 910-3169

310 Whittington Ave
Hot Springs National Park, AR 71901
Phone (501) 623-3477

Organizations & group practices 7

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1982418984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WESTCHESTER CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137743",
            "telephone_number": "501-414-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LEXINGTON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014738",
            "telephone_number": "479-910-3169",
            "fax_number": "479-600-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Pearson",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720154436",
            "country_code": "US",
            "telephone_number": "501-315-4224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLINES",
        "first_name": "REAGAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "231939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335745758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "biller@mbwfts.com",
            "affiliation": "N",
            "endpointDescription": "Medical Records Request",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "720 Lexington Ave",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729014738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.