HEATHER HALLUM (NPI# 1245529817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245529817 |
| Entity Type | Individual |
| Full Name | HEATHER HALLUM |
| Credential | LPC, CRC |
| Practice Address |
125 1/2 N Market St Benton AR 72015-3768 |
| Practice Telephone | 4797998885 |
| Practice Fax Number | 5013254586 |
| Mailing Telephone | 4797998885 |
| Mailing Fax Number | 5013254586 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2017-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
125 1/2 N MARKET ST |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851697528 | Lauren Johnson | Counselor | 125 1/2 N Market St, Benton, AR 72015 | 2011-01-28 |
| 1124652870 | Dustin J Morrow LLC | Counselor | 125 1/2 N Market St, Benton, AR 72015-3768 | 2020-03-02 |
| 1568887602 | Jenna Jo Lamaster | Counselor | 125 1/2 N Market St, Benton, AR 72015-3768 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| 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 |
|---|---|---|---|---|
| 1104439355 | Jason Amyx | Counselor | 78 Caky Dr, Benton, KY 42025-7592 | 2020-08-27 |
| 1134754021 | Jessica L Linnear | Counselor | 110 Shaffers Dr, Benton, LA 71006-8928 | 2020-03-11 |
| 1043592082 | Wendy Logsdon | Counselor | 630 W South St, Benton, AR 72015-4258 | 2011-09-15 |
| 1144252412 | Angie L Turner | Counselor | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2006-07-07 |
| 1679548184 | Jerilane Lovett Harrell | Counselor | 195 Hickory Creek Ln, Benton, KY 42025-5499 | 2006-02-19 |
| 1710513916 | Beth Forst | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-03-19 |
| 1548812472 | Robert Mcgehee | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-07-11 |
| 1730617564 | Natasha F Harris | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2017-05-24 |
| 1972043792 | Andrew Donovan | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015 | 2017-02-27 |
| 1427445246 | Kriston Ballard | Counselor | 3214 Winchester, Benton, AR 72015-2929 | 2015-04-20 |
| Find all providers in BENTON | ||||
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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.