JACLYN KELLY (NPI# 1336584549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336584549 |
| Entity Type | Individual |
| Full Name | JACLYN KELLY |
| Practice Address |
75 Hwy 62-412 Ash Flat AR 72513 |
| Mailing Address |
1815 Pleasant Grove Road Jonesboro AR 72404 |
| Practice Telephone | 8709947060 |
| Practice Fax Number | 8709947063 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126679 | Jaclyn Kristen Kelly | Specialist/Technologist | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 | 2006-03-07 |
| 1649568114 | Jaclyn Kelly | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2011-07-18 |
| Street Address |
75 HWY 62-412 |
| City | ASH FLAT |
| State | AR |
| Zip Code | 72513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336306596 | Stephanie Chapps | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2008-05-16 |
| 1225557333 | Kristy Renee Groves | Social Worker | 75 Hwy 62-412, Ash Flat, AR 72513 | 2017-09-11 |
| 1124477807 | Lucian Jack Lovell Jr. | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2016-06-03 |
| 1295101905 | Roxanne S Byram | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2015-08-17 |
| 1104218965 | Candice Elizabeth Biewer | Counselor | 75 Hwy 62-412, Ash Flat, AR 72513 | 2015-03-03 |
| 1538578836 | Rose Marie Turnbough | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2014-08-12 |
| 1740694777 | Michelle M. Mcgowen | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2014-06-18 |
| 1881039097 | Jennifer Grigg | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2013-05-01 |
| 1265772420 | Kindalh L Mayfield | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2013-02-26 |
| 1689965923 | Jennifer Clayton | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073450 | Hope Satterwhite | Speech-Language Pathologist | 120 Nix Rd, Ash Flat, AR 72513 | 2018-11-28 |
| 1356816110 | Garrett Andrew Sublett | Occupational Therapy Assistant | 83-1 Tuff St, Ash Flat, AR 72513 | 2018-10-09 |
| 1821540626 | Phillip Michael Taylor | Case Manager/Care Coordinator | 75 Hwy 62 - 412, Ash Flat, AR 72513 | 2016-10-27 |
| 1174079453 | Isaacs Occupational Therapy, LLC | Occupational Therapist | 33 Court Rd, Ash Flat, AR 72513 | 2016-08-28 |
| 1275899726 | David Bryant | Case Manager/Care Coordinator | 75 Hwy 75-612, Ash Flat, AR 72513 | 2012-04-10 |
| 1235375734 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 714 Ash Flat Dr, Ash Flat, AR 72513 | 2009-01-05 |
| 1336303262 | Melinda Wallis | Case Manager/Care Coordinator | Remington Plaza 75k Hwy 62/142, Ash Flat, AR 72513 | 2008-07-10 |
| 1598985863 | Network of Community Options Inc. | Day Training, Developmentally Disabled Services | 10 Martin Lane, Ash Flat, AR 72513 | 2007-04-27 |
| 1386864882 | Melanie Ann Isaacs | Occupational Therapist | #873 Hwy 354, Ash Flat, AR 72513 | 2007-04-26 |
| 1437376423 | Tina Doreen Ungerank | Case Manager/Care Coordinator | 714-a Ash Flat Drive, Ash Flat, AR 72513 | 2007-04-19 |
| Find all providers in zip 72513 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841624921 | Kendra Fuller | Counselor | 674 Ash Flat Dr, Ash Flat, AR 72513-9428 | 2013-08-26 |
| 1104218965 | Candice Elizabeth Biewer | Counselor | 75 Hwy 62-412, Ash Flat, AR 72513 | 2015-03-03 |
| 1881028041 | Marsha Lanelle Budnik | Counselor | 75 Hwy. 62-412, Ash Flat, AR 72513 | 2013-08-23 |
| 1174893440 | Kevin Neisler | Counselor | 75 Highway 62 412, Ash Flat, AR 72513-9594 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083221931 | Smith Counseling Center | Counselor | 517 Southwest Dr Ste H, Jonesboro, AR 72401-5858 | 2020-09-24 |
| 1508471509 | Access Counseling & Assessment Services, LLC | Counselor | 505 Amity Rd Ste 604, Conway, AR 72032-5993 | 2020-09-15 |
| 1205448370 | Teen Therapy Services LLC | Counselor | 5004 S U St Ste 202, Fort Smith, AR 72903-3600 | 2020-08-20 |
| 1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1760009716 | Serenity and Soul Counseling LLC | Counselor | 1202 Ne Mcclain Rd Ste 2002, Bentonville, AR 72712-3875 | 2020-06-25 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
| 1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
| 1043833197 | Re:create Joy, LLC | Counselor | 308 Glines Ct, Harrison, AR 72601-4416 | 2020-05-23 |
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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.