PROFESSIONAL COUNSELING ASSOCIATES INC. (NPI# 1053934703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053934703 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL COUNSELING ASSOCIATES INC. |
| Practice Address |
1109 Burman Dr Jacksonville AR 72076-4386 |
| Mailing Address |
3601 Richards Rd North Little Rock AR 72117-2954 |
| Practice Telephone | 5019827515 |
| Mailing Telephone | 5012211843 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | DEBBIE HAYS (SUPERVISOR) |
| Authorized Official Telephone | 4799675570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487272670 | Professional Counseling Associates Inc. | Clinic/Center | 977 East Cypress Street, Devalls Bluff, AR 72041 | 2020-07-14 |
| 1356965990 | Professional Counseling Associates Inc. | Clinic/Center | 201 West 2nd Street, Lonoke, AR 72086 | 2020-05-29 |
| 1154944809 | Professional Counseling Associates Inc. | Clinic/Center | 405 N 2nd St, Cabot, AR 72023-2539 | 2020-05-28 |
| Street Address |
1109 BURMAN DR |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-4386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225131345 | Lisa A Reed | Social Worker | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2006-09-06 |
| 1255858882 | Haylee Garland | Counselor | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2017-08-24 |
| 1184098469 | Angela Clark | Counselor | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2015-11-24 |
| 1992187561 | Michael Dillon | Counselor | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2015-06-19 |
| 1568758407 | Cassandra Lee Ingram | Psychologist | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2011-06-20 |
| 1003041278 | Shalanda Dashae Howard | Case Manager/Care Coordinator | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2009-05-18 |
| 1699917906 | Antoinette M Hodges | Case Manager/Care Coordinator | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2009-04-01 |
| 1649348715 | Gregory James Barabino | Case Manager/Care Coordinator | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2006-11-30 |
| 1740358845 | Laron Michelle Couch | Case Manager/Care Coordinator | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2006-11-30 |
| 1588748990 | Andrea J Eberle | Internal Medicine | 1109 Burman Dr, Jacksonville, AR 72076-4386 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1184237182 | Anchor Life Clinic | Clinic/Center | 9654 Ragsdale Dr, Jacksonville, FL 32257-6121 | 2020-08-28 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1669019212 | Cass County Mental Health | Clinic/Center | 60 E Central Park Plz, Jacksonville, IL 62650-2071 | 2019-12-03 |
| 1962974766 | Mara's Lighthouse Counseling Center, LLC | Clinic/Center | 6015 Morrow St E Ste 109, Jacksonville, FL 32217-2125 | 2018-12-19 |
| 1417428483 | Recovery Innovations Inc | Clinic/Center | 215b Memorial Dr, Jacksonville, NC 28546-6333 | 2018-12-17 |
| 1386131092 | Renascence Behavioral Healthcare Group, Inc | Clinic/Center | 8553 Argyle Business Loop Ste 1, Jacksonville, FL 32244-6604 | 2018-04-18 |
| 1093231987 | Aspire Psychiatric Services, LLC | Clinic/Center | 625 N 1st St Ste C, Jacksonville, AR 72076-4138 | 2017-08-22 |
| 1598295701 | North Florida Learning & Behavioral Health, LLC | Clinic/Center | 8825 Perimeter Park Blvd Ste 302, Jacksonville, FL 32216-1112 | 2017-06-20 |
| 1700179868 | Chemical Dependency Counseling, Inc. | Clinic/Center | 300 W Adams St Ste 240, Jacksonville, FL 32202-4365 | 2011-05-24 |
| 1952452096 | Psi Services IIi, Inc. | Clinic/Center | 4819 Soutel Dr, Jacksonville, FL 32208-1856 | 2007-01-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
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| 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.