MR. KEITHEN ALEX MATHIS


Address: 4700 W Commercial Dr, Suite B-2, North Little Rock, AR 72116-7068
Phone: 5017538400

MR. KEITHEN ALEX MATHIS (NPI# 1013220334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013220334
Entity Type Individual
Full Name MR. KEITHEN ALEX MATHIS
Credential MHPP
Practice Address 4700 W Commercial Dr
Suite B-2
North Little Rock
AR 72116-7068
Practice Telephone 5017538400
Practice Fax Number 5017538401
Mailing Telephone 5017538400
Mailing Fax Number 5017538401
Enumeration Date 2010-07-15
Last Update Date 2010-07-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers KEITHEN MATHIS

NPI Name Taxonomy Address Enumeration
1306174842 Keithen Mathis Counselor 2003 Apalachee Pkwy, Suite A, Tallahassee, FL 32301-4878 2009-11-20

Office Location

Street Address 4700 W COMMERCIAL DR
SUITE B-2
City NORTH LITTLE ROCK
State AR
Zip Code 72116-7068

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801285176 Debbie Jean Scharbor Counselor 4700 W Commercial Dr, Suite B-1, North Little Rock, AR 72116-7068 2015-01-09
1871708495 Alan Lewis Pogue Counselor 4700 W Commercial Dr, Suite B-1, North Little Rock, AR 72116-7068 2007-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710509997 Dickerson Family Resource Center, LLC Counselor 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 2020-05-11
1831609262 Bill J Carpenter Sr. Counselor 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 2017-10-12
1992257646 Meagan Booe Behavioral Analyst 3812 Lakewood Valley Drive, North Little Rock, AR 72116 2016-10-28
1295154300 Min-ji Lee Family Medicine 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 2014-04-16
1255603486 Crystal N Lackey Physical Therapist 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 2012-02-03
1003055724 North Little Rock, Pllc Chiropractor 4614 Jfk Blvd, North Little Rock, AR 72116 2009-02-19
1891933826 Jennifer Ann Freilino Counselor 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 2009-01-29
1679729669 Amy Marie Jones Speech-Language Pathologist 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 2008-08-11
1992970917 Ronald F Boyles Od Pa Eyewear Supplier (Equipment, not the service) 2520 Crestwood Road, North Little Rock, AR 72116 2008-04-30
1992976377 Kencur Inc Statco Hearing Labs Hearing Instrument Specialist 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 2008-03-13
Find all providers in zip 72116

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053738633 Zena Green Case Manager/Care Coordinator 1318 Franklin St, North Little Rock, AR 72114-4034 2014-03-21
1598188989 Marvin Williams Case Manager/Care Coordinator 906 W 25th St, North Little Rock, AR 72114-2022 2014-01-21
1396019733 Robert Rowzee Case Manager/Care Coordinator 1 Riverfront Pl, Suite 750, North Little Rock, AR 72114-5641 2012-03-02
1235402561 Tomeka Townsend Case Manager/Care Coordinator 1 Riverfront Pl Ste 750, North Little Rock, AR 72114-5651 2012-02-16
1003193954 Vekeo Vadas Dowden Case Manager/Care Coordinator 209 Mills St, North Little Rock, AR 72117-5017 2011-11-07
1972734382 Kimberly Renea Palmer Case Manager/Care Coordinator 6304 Whitby Ln, North Little Rock, AR 72118-3167 2009-08-03
1174773998 Bruce Edward Dawson Jr. Case Manager/Care Coordinator 3601 Richards Rd, North Little Rock, AR 72117-2954 2008-09-29
1225294374 Teresa Karen Fortner Case Manager/Care Coordinator 525 Wisteria Dr, North Little Rock, AR 72118-3567 2008-07-29
1114109147 Ronald Kirby Case Manager/Care Coordinator 3223 E Broadway St, North Little Rock, AR 72114-6344 2007-11-30
1073720967 Eugenia Shari Delph Case Manager/Care Coordinator 13801 Harpenden Cv, North Little Rock, AR 72117-5352 2007-05-17
Find all providers in NORTH LITTLE ROCK

Competitor

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City NORTH LITTLE ROCK
Zip Code 72116

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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