KIMBERLY STEPHENS (NPI# 1437212073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437212073 |
| Entity Type | Individual |
| Full Name | KIMBERLY STEPHENS |
| Credential | LPC |
| Practice Address |
2126 N 1st St Ste F Jacksonville AR 72076-2868 |
| Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
| Practice Telephone | 5019825000 |
| Practice Fax Number | 5019825007 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A0402009 | AR | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0709051 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 169115795 | 05 | |
| AR | BCBS | 5A838 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273443 | Kimberly Stephens | Homemaker | 11951 Poplar Creek Rd Nw, Baltimore, OH 43105-9361 | 2020-10-22 |
| 1437467792 | Kimberly Haviland Stephens | Registered Nurse | 11476 Ridge Rd, Medina, NY 14103-9635 | 2010-09-21 |
| 1427681477 | Kimberly Stephens | Nurse Practitioner | 2101 Jackson St Ste 206, Anderson, IN 46016-4388 | 2020-02-18 |
| 1902391139 | Kimberly C Stephens | Nurse Practitioner | 7307 N Main St, Jacksonville, FL 32208-4123 | 2018-06-29 |
| 1003288283 | Kimberly Stephens | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2015-10-27 |
| 1689092991 | Kimberly Stephens | Counselor | 5730 E Pilgrim Ct, Suite B, Wasilla, AK 99654-7824 | 2014-04-03 |
| 1780921676 | Kimberly Susanne Stephens | Pharmacist | 2515 S Florida Ave, Lakeland, FL 33803-3858 | 2013-01-11 |
| 1487990909 | Kimberly S Stephens | Counselor | 1059 N Market St, Troy, OH 45373-1433 | 2013-01-03 |
| 1417266925 | Kimberly Talysha Stephens | Social Worker | 200 Hawthorne Ln, Presbyterian Hospital, Behavioral Health, Charlotte, NC 28204-2515 | 2010-09-30 |
| 1497994453 | Kimberly Stephens | Case Manager/Care Coordinator | 703 Heathgate Dr, Houston, TX 77062-2618 | 2009-02-16 |
| Street Address |
2126 N 1ST ST STE F |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073529491 | Andrea Stiles | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2006-07-31 |
| 1548861180 | Terrill A Taylor | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-11-02 |
| 1437756376 | Rickeal Nelson | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-10-05 |
| 1346847290 | Kayla Daniell Carter | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-10-05 |
| 1720694250 | Whitney Jenkins | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-09-21 |
| 1598377210 | Kodi Carroll Avera | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-08-24 |
| 1114553351 | Denisse Pollo | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-03-19 |
| 1649806886 | Latoya Williams | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-03-19 |
| 1053944496 | Pamela Sue Bagwell | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-02-13 |
| 1396385712 | Avanlea Furr | Case Manager/Care Coordinator | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1831700848 | Anil Suthar | Counselor | 11776 Wattle Tree Rd N, Jacksonville, FL 32246-9751 | 2020-08-12 |
| 1700496494 | Debra Jones Lewis | Counselor | 2416 Christi Lakes Ct, Jacksonville, FL 32221-3891 | 2020-08-06 |
| 1992356117 | Nicole Wojcik | Counselor | 221 New Bridge St, Jacksonville, NC 28540-4736 | 2019-09-28 |
| 1700435401 | Lori Svendsen Brown | Counselor | 824 Gum Branch Rd Ste 0, Jacksonville, NC 28540-6272 | 2019-09-05 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1144708157 | Anastasia Marie Judge-arauz | Counselor | 187 Howard Rd, Jacksonville, NC 28540-9332 | 2018-08-01 |
| 1720593072 | Cherae Miles | Counselor | 862 Bunker Hill Blvd, Jacksonville, FL 32208-3220 | 2017-12-08 |
| 1083127476 | Heather Watkins | Counselor | 113 Philip St, Jacksonville, TX 75766-3781 | 2017-11-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on KIMBERLY STEPHENS.
| 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.