WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER,INC.-RCF GREENWOOD (NPI# 1144854886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144854886 |
Entity Type | Organization |
Organization Name | WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER,INC.-RCF GREENWOOD |
Practice Address |
1200 W Center St Greenwood AR 72936-3716 |
Mailing Address |
Po Box 11818 Fort Smith AR 72917-1818 |
Practice Telephone | 4794526650 |
Mailing Telephone | 4794526650 |
Mailing Fax Number | 4794525847 |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-03-02 |
Authorized Official Name | AARON L. 'RUSTI' HOLWICK (CEO) |
Authorized Official Telephone | 4794526650 |
Authorized Official Credential | LPE-I |
Is Organization Subpart | Y |
Parent Organization Name | WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
WACGC-RCF Greenwood | Doing Business As Name - Organization |
Street Address |
1200 W CENTER ST |
City | GREENWOOD |
State | AR |
Zip Code | 72936-3716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700093507 | Greenwood Retirement Center | Custodial Care Facility | 1200 W Center St, Greenwood, AR 72936-3716 | 2007-05-17 |
1043876915 | John Gooch | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2019-05-15 |
1851820013 | Melissa Phillips | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-06-09 |
1598293169 | Jillian Moore | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
1699203265 | Jamie Webb | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
1679025142 | Autumn Robinson | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2016-10-31 |
1841647427 | Mackenzie Moore | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2016-05-24 |
1275904518 | Kimberly Tomlin | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-10-13 |
1881065134 | Katelyn Friday | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-10-13 |
1316328685 | Shelby Knapple | Counselor | 1200 W Center St, Greenwood, AR 72936-3716 | 2015-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
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Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
1265061998 | Gateway Psychological Services | Community/Behavioral Health | 435 E Main St Ste 195, Greenwood, IN 46143-1456 | 2020-04-04 |
1265903595 | Abuse Counseling and Education Inc. | Community/Behavioral Health | 3209 W Smith Valley Rd Ste 137, Greenwood, IN 46142-8514 | 2018-12-16 |
1043798184 | Longleaf Counseling Services LLC | Community/Behavioral Health | 7564 Beebe Dr, Greenwood, LA 71033-3319 | 2018-07-31 |
1740656628 | Region 6 Community Mental Health Commission | Community/Behavioral Health | 2712 Highway 82 East, Greenwood, MS 38935 | 2015-08-14 |
1275920399 | Sunstone Health & Wellness, Inc. | Community/Behavioral Health | 1700 W Smith Valley Rd Ste B4, Greenwood, IN 46142-1589 | 2015-04-16 |
1336568765 | Gravity Counseling Group | Community/Behavioral Health | 945 Sunset Dr, Greenwood, SC 29646-1807 | 2014-04-14 |
1760787824 | Ii Corinthians 5:17 Inc | Community/Behavioral Health | 1043 Phoenix St, Greenwood, SC 29646-3915 | 2011-01-21 |
1558973560 | Inner Peace Counseling, LLC | Community/Behavioral Health | 1199 Scarborough Ln Apt 809, Greenwood, IN 46142-1666 | 2020-08-20 |
1295185395 | Region 6 Community Mental Health Commission | Community/Behavioral Health | 2504 Browning Road 520, Greenwood, MS 38930-6022 | 2016-06-20 |
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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.