Systemic Family Therapy LLC
NPI 1871039883ActiveOrganization· Preferred Provider Organization· Benton, AR
Preferred Provider Organization in Benton, Arkansas, registered in NPPES in January 2017. The authorized official on file is Elizabeth Ruggiero Wallis, PHD, Therapist.
Overview
| NPI | 1871039883 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2017 |
| Last updated in NPPES | Jun 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | PO807061 | AR |
| Preferred Provider Organization | 305R00000X | MO704002 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|