ALICIA LANDRUM (NPI# 1245454347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245454347 |
| Entity Type | Individual |
| Full Name | ALICIA LANDRUM |
| Credential | LAC |
| Practice Address |
1719 Merrill Dr Little Rock AR 72212-4009 |
| Practice Telephone | 5016632199 |
| Mailing Telephone | 5016632199 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A1504062 | AR | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| Street Address |
1719 MERRILL DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121373 | Ashley Ellen Green | Nurse Practitioner | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2006-02-04 |
| 1659906873 | Tori Francis | Counselor | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2020-03-09 |
| 1649819434 | Jeresa Lenell Chisholm | Counselor | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-12-27 |
| 1811536725 | Alexandria Norwood | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-12-26 |
| 1114561867 | Camesha Cromwell | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-11-05 |
| 1659915577 | Leah Richter | Social Worker | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-11-04 |
| 1184268005 | Kimwonyanna Russell | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-11-04 |
| 1306489810 | Verita Michelle Rainey | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-10-28 |
| 1336781426 | Mechelle Antionette Jones | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-10-10 |
| 1659913911 | Aurielle Freeman | Social Worker | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| 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 |
|---|---|---|---|---|
| 1811502305 | Gaye L Jones-washington | Counselor | 18411 Fawn Tree Dr, Little Rock, AR 72210-7131 | 2020-09-10 |
| 1811500606 | Amy Ballard Therapy, Pllc | Counselor | 2003 N Arthur St, Little Rock, AR 72207-3409 | 2020-08-31 |
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1093362006 | Dequita Crockett | Counselor | 300 S Rodney Parham Rd Ste 1-326, Little Rock, AR 72205-4747 | 2019-08-23 |
| 1043795958 | Jason M Andrews | Counselor | 11523 Kanis Rd Ste B, Little Rock, AR 72211-3788 | 2018-09-26 |
| 1013400738 | Lee Brown | Counselor | 1100 N University Ave Ste 260b, Little Rock, AR 72207-6367 | 2018-06-07 |
| 1316453426 | Dey'monet Carter | Counselor | 227 Beckwood Dr, Little Rock, AR 72205-2615 | 2017-12-27 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1619345246 | Erica Vinson | Counselor | 8 Shackleford Plz Ste 205, Little Rock, AR 72211-1853 | 2015-09-14 |
| 1508249087 | Shereeka Vickeres | Counselor | 9914 I 30, Little Rock, AR 72209-4201 | 2015-07-02 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
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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.