NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER (NPI# 1194018325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194018325 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER |
| Other Organization Name | MIDSOUTH HEALTH SYSTEMS |
| Practice Address |
4451 N Washington St Forrest City AR 72335-7711 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8706303880 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |
| Authorized Official Name | DONNIE LYERLY (CREDENTIALING) |
| Authorized Official Telephone | 8709724939 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 184171774 | 05 |
| Other Name | Type Code |
|---|---|
| MidSouth Health Systems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1770803090 | Northeast Arkansas Community Mental Health Center | Counselor | 211 Missouri, Helena, AR 72342-3707 | 2010-06-09 |
| 1326299736 | Northeast Arkansas Community Mental Health Center | Counselor | 102 South Larkspur, Walnut Ridge, AR 72476-1736 | 2008-10-03 |
| 1598916918 | Northeast Arkansas Community Mental Health Center | Counselor | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2008-10-03 |
| 1104077676 | Northeast Arkansas Community Mental Health Center | Counselor | 602 David St, Corning, AR 72422-7268 | 2008-10-02 |
| 1275784746 | Northeast Arkansas Community Mental Health Center | Counselor | 1011 W Morgan St, Paragould, AR 72450-2850 | 2008-10-02 |
| 1699926154 | Northeast Arkansas Community Mental Health Center | Counselor | 3700 Access Road, Jonesboro, AR 72401-7238 | 2008-10-02 |
| 1225321110 | Northeast Arkansas Community Mental Health Center | Counselor | 444 Atkins Blvd, Marianna, AR 72360-2110 | 2011-05-25 |
| 1699068585 | Northeast Arkansas Community Mental Health Center | Counselor | 801 Newman Dr, Helena, AR 72342-8950 | 2011-05-25 |
| 1598058489 | Northeast Arkansas Community Mental Health Center | Counselor | 905 N 7th St, West Memphis, AR 72301-2001 | 2011-05-25 |
| Street Address |
4451 N WASHINGTON ST |
| City | FORREST CITY |
| State | AR |
| Zip Code | 72335-7711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295847820 | Annette Sims Slater | Psychiatry & Neurology | 4451 N Washington St, Forrest City, AR 72335-7711 | 2006-08-31 |
| 1750996898 | Dwain Whitfield | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2020-09-15 |
| 1902419450 | Jada Olloway | Behavior Technician | 4451 N Washington St, Forrest City, AR 72335-7711 | 2020-08-25 |
| 1255942595 | Pearlie White | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2020-08-11 |
| 1730738154 | Jerry Xavier Hampton | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2019-09-09 |
| 1518425255 | Kameron Lynae Parks | Counselor | 4451 N Washington St, Forrest City, AR 72335-7711 | 2019-03-12 |
| 1265908263 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-10-17 |
| 1235625617 | Helen Ann Hood | Counselor | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-07-09 |
| 1518459668 | Felicia Samantha Stewart | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-06-05 |
| 1699288597 | Robin Nicole Dawson | Case Manager/Care Coordinator | 4451 N Washington St, Forrest City, AR 72335-7711 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1922545383 | Kimberly Burnett | Speech-Language Pathologist | 400 Dawson Rd., Forrest City, AR 72335 | 2017-01-24 |
| 1134510951 | Kaylee Marple | Occupational Therapy Assistant | 726 North Washington St, Forrest City, AR 72335 | 2015-02-16 |
| 1033534185 | My Ride Transportation 2, LLC. | Non-emergency Medical Transport (VAN) | 224 Bond Dr., Forrest City, AR 72335 | 2014-02-26 |
| 1457796187 | Katherine Elizabeth Ramsey | Occupational Therapy Assistant | 3326 Highway 1 South, Forrest City, AR 72335 | 2013-05-08 |
| 1902158785 | Brittany Nicole Mitchell | Speech-Language Pathologist | 149 Water St., Lincoln Middle School, Forrest City, AR 72335 | 2012-10-04 |
| 1114278058 | Ashley Danielle Busby | Speech-Language Pathologist | 801 Deadrick Road, Forrest City, AR 72335 | 2012-10-01 |
| 1548569585 | East Arkansas Physical Therapy | Clinic/Center | 3150 N Washington, Forrest City, AR 72335 | 2011-03-16 |
| 1487801007 | David George Boyles | Psychologist | 3998 Highway 1 North, Forrest City, AR 72335 | 2008-08-26 |
| 1255515581 | Shontel Denise Wilson | Speech-Language Pathologist | 300 Eldridge Rd, Suite 1, Forrest City, AR 72335 | 2007-12-21 |
| Find all providers in zip 72335 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908263 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-10-17 |
| 1225321912 | Health Resources of Ar | Community/Behavioral Health | 112 S Izard St, Forrest City, AR 72335-3810 | 2011-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1275175275 | Willow Springs Counseling | Community/Behavioral Health | 204 N Front St Ste A, Dardanelle, AR 72834-3843 | 2019-10-10 |
| 1023663630 | Arkansas Support Network, Inc | Community/Behavioral Health | 6836 Issacs Orchard Rd, Springdale, AR 72762-6096 | 2019-08-09 |
| 1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
| 1346808474 | Amy Burns, Lpc, Inc | Community/Behavioral Health | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-06-04 |
| 1255994158 | Conway County Community Service Inc. | Community/Behavioral Health | 200 S Peabody Ave, Mountain View, AR 72560-6311 | 2019-04-16 |
| 1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
| City | FORREST CITY |
| Zip Code | 72335 |
Please comment or provide details below to improve the information on NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER.
| 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.