WILLIAM J FRETWELL (LAC) – Counselor, NPI 1114246808

WILLIAM J FRETWELL (LAC) is a healthcare provider. based in Fayetteville, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LAC. The NPI Number for WILLIAM J FRETWELL (LAC) is 1114246808

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J FRETWELL (LAC)
NPI
1114246808
Phone
(479) 521-1427
Address
3352 N FUTRALL DR
Enumeration Date
20 May 2010
Last Update Date
20 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552417160
Graduation Year
1996 (30 years ago)
PAC ID
8022451418
Group Practice PAC ID
4385929173
Professional Enrollment ID
I20240213003325
Address ID
VA23707XXXXPOXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

Provider Addresses for WILLIAM J FRETWELL (LAC)

  • 3352 N FUTRALL DR

    FAYETTEVILLE, AR 727034057

    Phone: (479) 521-1427

    Fax: (479) 521-6520

    Type: Mailing

  • 10301 MAYO DR

    BARLING, AR 729231660

    Phone: (479) 494-5700

    Fax: (479) 484-8142

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240213003325IMental Health CounselorVATBD
I20240215000152IMental Health CounselorDCTBD
I20240627003059IMental Health CounselorALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385929173View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Clinical Social WorkerNY
Clinical Social WorkerWI
Clinical Social WorkerGA
Clinical Social WorkerMD
Clinical Social WorkerNY
Clinical Social WorkerNY
Clinical Social WorkerWA
Clinical Social WorkerME
Clinical Social WorkerOR

Reviews

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Frequently asked questions

Can I verify WILLIAM J FRETWELL (LAC) with an NPI only?
You can start verification with NPI 1114246808 for WILLIAM J FRETWELL (LAC), then check state licensing separately.
Is WILLIAM J FRETWELL (LAC) listed as active for patients and plans?
The listing shows WILLIAM J FRETWELL (LAC) as active in the NPI system.
What is WILLIAM J FRETWELL (LAC)'s specialty?
The listing groups WILLIAM J FRETWELL (LAC) with Counselor. Clinical services aligned with this taxonomy classification.
Where is WILLIAM J FRETWELL (LAC) based?
WILLIAM J FRETWELL (LAC) is tied to Fayetteville, Arkansas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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