NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER (NPI# 1396038287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396038287 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER |
| Other Organization Name | MIDSOUTH HEALTH SYSTEMS |
| Practice Address |
28 Southpointe Dr Paragould AR 72450-6238 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8702392244 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724939 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2012-12-12 |
| Authorized Official Name | DONNIE LYERLY (CREDENTIALING) |
| Authorized Official Telephone | 8709724939 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 184185774 | 05 |
| Other Name | Type Code |
|---|---|
| MidSouth Health Systems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1770803090 | Northeast Arkansas Community Mental Health Center | Counselor | 211 Missouri, Helena, AR 72342-3707 | 2010-06-09 |
| 1326299736 | Northeast Arkansas Community Mental Health Center | Counselor | 102 South Larkspur, Walnut Ridge, AR 72476-1736 | 2008-10-03 |
| 1598916918 | Northeast Arkansas Community Mental Health Center | Counselor | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2008-10-03 |
| 1104077676 | Northeast Arkansas Community Mental Health Center | Counselor | 602 David St, Corning, AR 72422-7268 | 2008-10-02 |
| 1275784746 | Northeast Arkansas Community Mental Health Center | Counselor | 1011 W Morgan St, Paragould, AR 72450-2850 | 2008-10-02 |
| 1699926154 | Northeast Arkansas Community Mental Health Center | Counselor | 3700 Access Road, Jonesboro, AR 72401-7238 | 2008-10-02 |
| 1225321110 | Northeast Arkansas Community Mental Health Center | Counselor | 444 Atkins Blvd, Marianna, AR 72360-2110 | 2011-05-25 |
| 1699068585 | Northeast Arkansas Community Mental Health Center | Counselor | 801 Newman Dr, Helena, AR 72342-8950 | 2011-05-25 |
| 1598058489 | Northeast Arkansas Community Mental Health Center | Counselor | 905 N 7th St, West Memphis, AR 72301-2001 | 2011-05-25 |
| Street Address |
28 SOUTHPOINTE DR |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336141902 | Karen J Reinertsen | Specialist | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2005-08-12 |
| 1659986628 | Shelley Dhane | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2020-09-15 |
| 1326683657 | Tabatha Shree Hollywood | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2019-11-11 |
| 1275187627 | Nina Sue Brown | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2019-07-24 |
| 1477106128 | Dorinda Lucille Wallace | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2019-07-22 |
| 1003469750 | David Stephen Wessell | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2019-07-22 |
| 1841768553 | Ashley Lynn Russom | Counselor | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2018-11-12 |
| 1609357722 | Hailee Marie Shaver | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2018-08-27 |
| 1235618893 | Brooke Lynn Midgett | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2018-08-14 |
| 1609362011 | Jessica Lee Ann Pruitt | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2018-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| 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 |
|---|---|---|---|---|
| 1407039498 | Dayspring Services of Arkansas LLC | Community/Behavioral Health | #1 Laubach Drive, Paragould, AR 72450 | 2007-12-12 |
| 1083926588 | Alternative Opportunities | Community/Behavioral Health | 1 Laubach Drive, Paragould, AR 72450 | 2010-07-13 |
| 1780807818 | Dayspring Behavioral Health | Community/Behavioral Health | 1910 Mockingbird Ln, Suite B and C, Paragould, AR 72450-5806 | 2007-04-10 |
| 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 | ||||
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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.