Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Waller, LPC

Individual provider Counselor · NPI 1780987362

Jason Waller, LPC is a Mental Health Counselor in Hot Springs, Arkansas. Qualified in 2016, 10 years ago. Practices with Harbor House Incorporated of Fort Smith Arkansas, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
10
Licensed in
AR
In the registry since
2010
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3634 Central Ave Ste A
Hot Springs, AR 71913-6472
Phone: (501) 547-3763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106b Shadow Peak Ln, Hot Springs, AR 71913-2376 — (501) 655-6483

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence P2108017 (AR)
Counselor Taxonomy 101Y00000X · Licence A1708247 (AR)
Mental Health Counselor Taxonomy 101YM0800X · Licence P2108017 (AR)
Case Manager/Care Coordinator Taxonomy 171M00000X (AR)

Record details

NPI number1780987362
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 21, 2010
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Harbor House Incorporated Of Fort Smith Arkansas — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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