Individual provider

Cody Willis

Mental Health Counselor Case Manager/Care Coordinator Medicare enrolled

Cody Willis is a Mental Health Counselor in Searcy, AR, registered under NPI 1679754063. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 120 W RACE AVE STE 12, Searcy, AR 72143. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

120 W RACE AVE STE 12, Searcy, AR 72143 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
P1402016 AR Mental Health Counselor primary
A0802015 AR Mental Health Counselor

This provider holds licence P1402016 issued in AR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
2769970318
Enrollment ID
I20251024000939

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YM0800X Mental Health Counselor Mental Health P1402016 AR primary
101YM0800X Mental Health Counselor Mental Health A0802015 AR
171M00000X Case Manager/Care Coordinator

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1679754063 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 14, 2007
Last updatedNov 3, 2025
StatusActive
Sole proprietorYes
Practice address 120 W RACE AVE STE 12
Searcy, AR 72143
(501) 712-3392
Mailing address 915 E MARKET AVE BOX 10803
Searcy, AR 72149
This record was updated on Nov 3, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1679754063 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 7 9 7 5 4 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 5 5 8 0 3

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1679754063?
NPI 1679754063 is the National Provider Identifier assigned to Cody Willis in Searcy, AR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Mental Health cover?
Definition to come...
How do I contact Cody Willis?
The phone number on file with NPPES is (501) 712-3392, last updated Nov 3, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Cody Willis accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679754063 a valid number?
Yes. 1679754063 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.