PROF. MIKE R NELSON (NPI# 1285689240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285689240 |
| Entity Type | Individual |
| Full Name | PROF. MIKE R NELSON |
| Credential | MS., LPC, NCC |
| Practice Address |
72 Oak Meadows Dr Cabot AR 72023-3428 |
| Practice Telephone | 5012468835 |
| Mailing Telephone | 5012468835 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P9803006 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116378726 | 05 |
| Street Address |
72 OAK MEADOWS DR |
| City | CABOT |
| State | AR |
| Zip Code | 72023-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194756270 | Rachel Goff | Counselor | 203b Westport Dr, Cabot, AR 72023-3657 | 2006-07-06 |
| 1134734494 | Harli Belk | Counselor | 3358 S 2nd St Ste D, Cabot, AR 72023-7876 | 2020-09-14 |
| 1932714458 | Katherine Yates | Counselor | 3358 S 2nd St Ste D, Cabot, AR 72023-7876 | 2020-09-11 |
| 1255805214 | Kristina Johnson | Counselor | 3358 S 2nd St Ste D, Cabot, AR 72023-7876 | 2019-01-14 |
| 1720525785 | Katherine Bishop | Counselor | 203b Westport Dr, Cabot, AR 72023-3657 | 2017-01-27 |
| 1588029177 | Mitchell Tyree Cherry | Counselor | 203b Westport Dr, Cabot, AR 72023-3657 | 2015-12-23 |
| 1619332509 | Lyndsee Cooper | Counselor | 203b Westport Dr, Cabot, AR 72023-3657 | 2015-12-21 |
| 1689090912 | Jennifer Heard | Counselor | 203b Westport Dr, Cabot, AR 72023-3657 | 2014-03-11 |
| 1659797256 | Rebecca Eppinette | Counselor | 203b Westport Dr, Cabot, AR 72023-3657 | 2014-03-07 |
| 1316207988 | Rebekah Castleberry | Counselor | 203b Westport Dr, Cabot, AR 72023 | 2012-05-16 |
| Find all providers in CABOT | ||||
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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.