Courtney Bacon-Latina, LPC
NPI 1922649532ActiveIndividual· Counselor, Mental Health· Malvern, AR
Counselor, Mental Health (LPC) with Tfs of Gurdon Inc, practicing in Malvern, Arkansas. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1922649532 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Oct 4, 2019 |
| Last updated in NPPES | Apr 1, 2022 |
| Certified by provider | Apr 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | P2203015 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (AR) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Tfs of Gurdon IncMalvern, AR · 9 clinicians
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