Jason Waller, LPC in Hot Springs, AR - Medicare Counselor Provider

Jason Waller, LPC is a medicare enrolled "Counselor - Professional" provider in Hot Springs, Arkansas. His current practice location is 3634 Central Ave Ste A, Hot Springs, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 547-3763.

Jason Waller is licensed to practice in Arkansas (license number P2108017) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780987362.

Contact Information

	Jason Waller, LPC
	3634 Central Ave Ste A, Hot Springs, AR 71913-6472
	(501) 547-3763
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jason Waller
Gender	Male
Speciality	Counselor - Professional
Location	3634 Central Ave Ste A, Hot Springs, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780987362
Provider Enumeration Date: 12/21/2010
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 6204375546
Enrollment ID: I20240829003976

Medical Identifiers

Medical identifiers for Jason Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780987362	NPI	-	NPPES
P2108017	Other	AR	LPC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	A1708247 (Arkansas)	Secondary
101YM0800X	Counselor - Mental Health	P2108017 (Arkansas)	Secondary
171M00000X	Case Manager/care Coordinator	(Arkansas)	Secondary
101YP2500X	Counselor - Professional	P2108017 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason Waller allows following entities to bill medicare on his behalf.

Entity Name	Collaborative Counseling Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922534882 PECOS PAC ID: 6507296084 Enrollment ID: O20200423003607

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Waller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jason Waller, LPC 3634 Central Ave Ste A, Hot Springs, AR 71913-6472 Ph: (501) 547-3763	Jason Waller, LPC 3634 Central Ave Ste A, Hot Springs, AR 71913-6472 Ph: (501) 547-3763

Reviews and Comments

Counselor in Hot Springs, AR

Mrs. Penny J Almond, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Malvern Ave Ste 270, Hot Springs, AR 71901 Phone: 501-538-9360
Rebecca Seel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1820 Central Ave, Hot Springs, AR 71901 Phone: 501-609-0400 Fax: 501-609-0166
Anna Mccoy, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Mcauley Ct, Suite B, Hot Springs, AR 71913 Phone: 501-321-1779 Fax: 501-321-9078
Cheryl Kuhn, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1820 Central Ave. Ste. B, Hot Springs, AR 71901 Phone: 501-623-6000 Fax: 501-623-6004
Kylie Walton, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3604 Central Ave, Suite C, Hot Springs, AR 71913 Phone: 501-623-9220 Fax: 501-623-9227
Stephanie Hamilton, Counselor Medicare: Medicare Enrolled Practice Location: 1820 Central Ave Ste B, Hot Springs, AR 71901 Phone: 501-623-6000 Fax: 501-623-6004
Mary Catherine Liscinski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Ouachita Ave Ste 214, Hot Springs, AR 71901 Phone: 501-547-1347

Jason Waller, LPC - Medicare Counselor in Hot Springs, AR