MRS. MISTY LEANNE JUOLA (NPI# 1417175159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417175159 |
| Entity Type | Individual |
| Full Name | MRS. MISTY LEANNE JUOLA |
| Other Name | MRS. MISTY E WITHERINGTON |
| Credential | LPE |
| Practice Address |
109 W South St. Aca Benton AR 72015 |
| Mailing Address |
109 W South St. Aca - Arkansas Counseling Assocciates Benton AR 72015 |
| Practice Telephone | 5017761191 |
| Practice Fax Number | 5017761194 |
| Mailing Telephone | 5017761191 |
| Mailing Fax Number | 5017761194 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2014-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
01-21E | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5Y529 | 01 |
| Street Address |
109 W SOUTH ST. ACA |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043762081 | Bridget Lynette Maiden-williams | Counselor | 1007 Robert Ln, Benton, LA 71006-8326 | 2016-10-25 |
| 1851697528 | Lauren Johnson | Counselor | 125 1/2 N Market St, Benton, AR 72015 | 2011-01-28 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1710176540 | Karen Diane Reed | Counselor | 198 Old Symsonia Road, Suite 107, Benton, KY 42025 | 2007-10-17 |
| 1194840371 | Maxus Inc. | Counselor | 109 W South St, Benton, AR 72015-3776 | 2007-03-20 |
| 1720129265 | Mary Ann Callison | Counselor | 212 W Sevier Street, Benton, AR 72015 | 2007-02-09 |
| 1326013806 | Nancy Grant-horn | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015 | 2006-02-20 |
| 1518424472 | Sarah Albert | Counselor | 6701 Highway 67 Bldg 4, Benton, AR 72015 | 2019-02-27 |
| 1598292179 | Alana Kennedy | Counselor | 112 Pearson, Benton, AR 72015-4436 | 2017-05-15 |
| 1235503095 | Michelle E Edgin | Counselor | 110 Pearson, Benton, AR 72015-4436 | 2015-11-17 |
| Find all providers in BENTON | ||||
Please comment or provide details below to improve the information on MRS. MISTY LEANNE JUOLA.
| 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.