JEFFREY L MITCHELL (NPI# 1114307188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114307188 |
| Entity Type | Individual |
| Full Name | JEFFREY L MITCHELL |
| Practice Address |
602 N Walton Blvd Bentonville AR 72712-4576 |
| Mailing Address |
315 W 6th St Mountain Home AR 72653-3509 |
| Practice Telephone | 4794641060 |
| Mailing Telephone | 8704258642 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639266042 | Jeffrey R Mitchell | Surgery | 363 Fremont Street, Suite 203, Battle Creek, MI 49017-3398 | 2006-10-06 |
| 1427149277 | Jeffrey Russell Mitchell | Chiropractor | 1918 Broadwater Ave, Billings, MT 59102-4867 | 2006-09-27 |
| 1750495206 | Jeffrey A Mitchell | Optometrist | 1108 W Cherokee St, Wagoner, OK 74467-4622 | 2006-08-19 |
| 1306873328 | Jeffrey Alan Mitchell | Chiropractor | 4205 Glass Rd Ne, Cedar Rapids, IA 52402-2514 | 2006-06-26 |
| 1568442135 | Jeffrey Raymond Mitchell | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Presbyterian, Outpatient Child Bh Clinic, Albuquerque, NM 87110-7639 | 2006-01-19 |
| 1689143836 | Jeffrey Lane Mitchell | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-16 |
| 1306330642 | Jeffrey Steven Mitchell | Nurse Practitioner | 3545 W 95th St, Evergreen Park, IL 60805-2135 | 2018-06-20 |
| 1316443054 | Jeffrey Mitchell | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2018-04-02 |
| 1306270319 | Jeffrey David Mitchell | Occupational Therapist | 621 W Micheltorena St, Santa Barbara, CA 93101-4195 | 2013-08-26 |
| 1912219296 | Jeffrey L Mitchell II | Podiatrist | 1413 Hatcher Ln, Columbia, TN 38401-3535 | 2010-07-02 |
| Street Address |
602 N WALTON BLVD |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-4576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366654915 | Preferred Family Healthcare Inc | Substance Abuse Rehabilitation Facility | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2007-05-04 |
| 1912556838 | Kaitlyn Barrantes | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2019-09-04 |
| 1548782899 | Milaya Bell | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2017-07-07 |
| 1073033700 | Jeanette Brant | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2017-06-23 |
| 1679925044 | Kynvieya Donnerson | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2016-07-08 |
| 1013369065 | Blanca Ramos | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2016-07-01 |
| 1417308016 | Megan Simpson | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2016-06-24 |
| 1417306390 | Brittney Gaston | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2016-06-10 |
| 1013366996 | Alexandra Smith | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2016-06-10 |
| 1477902351 | Stacy Gordon | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810231 | Prosperity Hands Ministry | Counselor | 710 Sw Sterling Pl, Bentonville, AR 72712-7773 | 2020-04-26 |
| 1427690163 | Amy Lynn Fisher | Counselor | 1003 Se 14th St, Bentonville, AR 72712-7097 | 2019-10-15 |
| 1831610500 | Kimalee Marple K Marple | Counselor | 1305 Ne 3rd St, Bentonville, AR 72712-5508 | 2017-07-03 |
| 1144771395 | Katherine Rogers | Counselor | 1730 Se Moberly Ln, Suite 4, Bentonville, AR 72712-7015 | 2016-10-21 |
| 1730493784 | Hillary Beth Price | Counselor | 3102 Se J St, Bentonville, AR 72712-3796 | 2010-08-02 |
| 1831353002 | Mysti Hope Sanders | Counselor | 2508 S.e. 20th Street, Bentonville, AR 72712 | 2008-07-16 |
| 1841800224 | Carissa Stalnaker | Counselor | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2020-07-31 |
| 1912556838 | Kaitlyn Barrantes | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2019-09-04 |
| 1437716701 | Regional Therapy Services, Inc. | Counselor | 2201 E Central Ave Ste 9, Bentonville, AR 72712-5607 | 2019-05-22 |
| 1184288987 | Anchor Counseling | Counselor | 901 Se 28th St Ste 11, Bentonville, AR 72712-3890 | 2019-04-26 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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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.