JEANNEKA BLACK (NPI# 1326415233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326415233 |
| Entity Type | Individual |
| Full Name | JEANNEKA BLACK |
| Practice Address |
4001 Commercial Center Dr Ste 2 Marion AR 72364-9616 |
| Mailing Address |
2809 Forest Home Rd Jonesboro AR 72401-5320 |
| Practice Telephone | 8707327920 |
| Practice Fax Number | 8707327923 |
| Mailing Telephone | 8669721268 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AR | Behavioral Health & Social Service Providers |
| Street Address |
4001 COMMERCIAL CENTER DR STE 2 |
| City | MARION |
| State | AR |
| Zip Code | 72364-9616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598898207 | Tyneshia Bohanon | Social Worker | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2007-03-13 |
| 1043821598 | Carmen Cobbs | Social Worker | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2020-08-10 |
| 1477185031 | Enoch Allen | Case Manager/Care Coordinator | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2020-02-11 |
| 1336788025 | Deantionette Smallwood | Social Worker | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2019-12-30 |
| 1548803588 | Kristy Snipes | Social Worker | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2019-10-22 |
| 1669014528 | Brandon Cable | Counselor | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2019-10-11 |
| 1356990626 | Jessica Razor | Case Manager/Care Coordinator | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2019-09-09 |
| 1770141913 | Ashley Danielle Haliburton | Social Worker | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2019-06-03 |
| 1811473358 | Ramon Harris | Social Worker | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2018-07-18 |
| 1760972582 | Marqual Levar Pitchford | Case Manager/Care Coordinator | 4001 Commercial Center Dr Ste 2, Marion, AR 72364-9616 | 2018-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346577 | Gwendolyn Reeves | Counselor | 54 College Dr, Marion, NC 28752-8728 | 2020-04-27 |
| 1154816296 | Billy Gene Sheehan | Counselor | 46 Marquette Dr Ste 2, Marion, NC 28752-6680 | 2018-06-29 |
| 1932602034 | Anquinett Burnett | Counselor | 551 Burma Rd W, Marion, NC 28752-5583 | 2018-03-14 |
| 1437664521 | Jenifer Joy Aronson | Counselor | 1122 W 3rd St, Marion, IN 46952-3667 | 2017-12-11 |
| 1487163572 | Ivery Davis | Counselor | Pee Dee Mental Health, Marion Clinic, 1100 S. Main St., Marion, SC 29571-2957 | 2017-09-21 |
| 1497274468 | Shirley Lee Johnson | Counselor | 480 Saint Paul Church Rd, Marion, LA 71260-4835 | 2017-09-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1205294717 | Leah Rachelle Kelley | Counselor | 1780 Lytle Mountain Rd, Marion, NC 28752-8488 | 2016-01-29 |
| 1205209715 | Lutheran Social Services of Il | Counselor | 102 E Deyoung St Ste B, Marion, IL 62959-2724 | 2015-11-05 |
| 1366827149 | Wendy Jill Owens | Counselor | 201 Converse Rd, Marion, MA 02738-1703 | 2015-07-22 |
| Find all providers in MARION | ||||
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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.