Jason Waller, LPC
NPI 1780987362ActiveIndividual· Counselor, Professional· Hot Springs, AR
Counselor, Professional (LPC) with Harbor House Incorporated of Fort Smith Arkansas, practicing in Hot Springs, Arkansas. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1780987362 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Dec 21, 2010 |
| Last updated in NPPES | Oct 27, 2021 |
| Certified by provider | Oct 27, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | P2108017 | AR |
| Counselor | 101Y00000X | A1708247 | AR |
| Counselor, Mental Health | 101YM0800X | P2108017 | AR |
| Case Manager/Care Coordinator | 171M00000X | — | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AR) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Harbor House Incorporated of Fort Smith ArkansasRogers, AR · 9 clinicians
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