WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-POLK COUNTY (NPI# 1356516579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356516579 |
| Entity Type | Organization |
| Organization Name | WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-POLK COUNTY |
| Other Organization Name | WACGC - POLK COUNTY CLINIC |
| Practice Address |
307 Cherry St Mena AR 71953-4382 |
| Mailing Address |
Po Box 11818 Fort Smith AR 72917-1818 |
| Practice Telephone | 4794526650 |
| Practice Fax Number | 4797859495 |
| Mailing Telephone | 4794526650 |
| Mailing Fax Number | 4797859495 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | MR. JIM WEST (CEO) |
| Authorized Official Telephone | 4794526650 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 138596726 | 05 |
| Other Name | Type Code |
|---|---|
| WACGC - Polk County Clinic | Other Name - Individual/Organization |
| Street Address |
307 CHERRY ST |
| City | MENA |
| State | AR |
| Zip Code | 71953-4382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912115353 | Brandi Titsworth | Counselor | 307 Cherry St, Mena, AR 71953-4382 | 2007-05-18 |
| 1801402243 | Heather Lackey | Case Manager/Care Coordinator | 307 Cherry St, Mena, AR 71953-4382 | 2020-09-21 |
| 1235407545 | Western Arkansas Counseling & Guidance Center, Inc.-polk County Clinic | Community/Behavioral Health | 307 Cherry St, Mena, AR 71953-4382 | 2011-12-01 |
| 1447545801 | Ginny Reding | Counselor | 307 Cherry St, Mena, AR 71953-4382 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166623 | Joshua Daniel Sirkis | Physical Therapist | 500 Crestwood Circle Suite G, Mena, AR 71953 | 2019-10-28 |
| 1841639960 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 134 S George, Mt Ida, AR 71953 | 2013-06-21 |
| 1922326586 | Boone Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 803-a Highway 71 North, Mena, AR 71953 | 2010-05-06 |
| 1841529112 | Chad Hill | Hearing Instrument Specialist | 601 W Hwy 71 N, Mena, AR 71953 | 2009-12-16 |
| 1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1629291455 | Jennifer Rowland | Occupational Therapist | 1801 Hamilton Avenue, Mena, AR 71953 | 2007-04-10 |
| 1093886822 | Alina Mielnick | Urology | 601 Bd Hwy 71 N, Mena, AR 71953 | 2006-11-13 |
| 1821195256 | Robert Martin Cohen | Psychiatry & Neurology | 311 North Morrow Street, Mena, AR 71953 | 2006-09-20 |
| 1730284357 | Sidney H Simpson | Chiropractor | 1402-b Hwy 71 S, Mena, AR 71953 | 2006-09-14 |
| Find all providers in zip 71953 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235407545 | Western Arkansas Counseling & Guidance Center, Inc.-polk County Clinic | Community/Behavioral Health | 307 Cherry St, Mena, AR 71953-4382 | 2011-12-01 |
| 1508024613 | Ouachita Counseling Services | Community/Behavioral Health | 1210 Dequeen St, Mena, AR 71953-4132 | 2008-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1275175275 | Willow Springs Counseling | Community/Behavioral Health | 204 N Front St Ste A, Dardanelle, AR 72834-3843 | 2019-10-10 |
| 1023663630 | Arkansas Support Network, Inc | Community/Behavioral Health | 6836 Issacs Orchard Rd, Springdale, AR 72762-6096 | 2019-08-09 |
| 1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
| 1346808474 | Amy Burns, Lpc, Inc | Community/Behavioral Health | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-06-04 |
| 1255994158 | Conway County Community Service Inc. | Community/Behavioral Health | 200 S Peabody Ave, Mountain View, AR 72560-6311 | 2019-04-16 |
| 1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-POLK COUNTY.
| 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.