NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC (NPI# 1477033322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477033322 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC |
| Other Organization Name | MID SOUTH HEALTH SYSTEMS |
| Practice Address |
33 Choctaw Trce Cherokee Village AR 72529-2702 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724000 |
| Mailing Fax Number | 8709724968 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | CARLA JONES (OFFICE MANAGER) |
| Authorized Official Telephone | 8709724000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| MID SOUTH HEALTH SYSTEMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1396396859 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 837 Willett Road, Jonesboro, AR 72401 | 2019-09-26 |
| 1265908263 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-10-17 |
| 1790265593 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 637 East Main St, Melbourne, AR 72556 | 2018-08-21 |
| 1750861688 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 107 Laurel St, Newport, AR 72112-3327 | 2018-08-20 |
| 1972083806 | Northeast Arkansas Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2018-08-20 |
| 1649750597 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 642 N Main St, Salem, AR 72576-9450 | 2018-08-20 |
| 1336118207 | Northeast Arkansas Community Mental Health Center Inc | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-03-14 |
| Street Address |
33 CHOCTAW TRCE |
| City | CHEROKEE VILLAGE |
| State | AR |
| Zip Code | 72529-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513996 | Laura Ann Wood | Licensed Practical Nurse | 33 Choctaw Trce, Cherokee Village, AR 72529 | 2006-01-19 |
| 1164908778 | Nicole Leah Martin | Counselor | 33 Choctaw Trce, Cherokee Village, AR 72529 | 2018-07-17 |
| 1194134494 | Brenesha Bryelle Lambert | Counselor | 33 Choctaw Trce, Cherokee Village, AR 72529-2702 | 2014-08-12 |
| 1801176888 | Thomas Norton | Counselor | 33 Choctaw Trce, Cherokee Village, AR 72529 | 2011-08-23 |
| 1124166301 | Betty C. Eash | Counselor | 33 Choctaw Trce, Cherokee Village, AR 72529 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861032963 | David Gregory | Physical Therapy Assistant | Therapy Works, Inc., 31 Choctaw Center, Cherokee Village, AR 72529 | 2020-01-07 |
| 1578970315 | Jennifer Lindsey Jones | Specialist/Technologist | 1 Hictochee Trace, Cherokee Village, AR 72529 | 2014-07-14 |
| 1619301512 | Cindy Cox | Case Manager/Care Coordinator | 4 E Village Mall, Cherokee Village, AR 72529 | 2013-08-27 |
| 1659616498 | Shannon M Harris | Case Manager/Care Coordinator | 4 East Village Mall, Cherokee Village, AR 72529 | 2012-12-05 |
| 1295030815 | Urban Medical Clinic | General Practice | 1 West Cherokee Village Mall #12, Cherokee Village, AR 72529 | 2011-01-12 |
| 1225331333 | Shyronn Dee Crider | Case Manager/Care Coordinator | 4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2010-12-10 |
| 1588894299 | Samantha Sandridge | Case Manager/Care Coordinator | 4 Cherokee Village Mall, E, Cherokee Village, AR 72529 | 2009-07-16 |
| 1295977726 | Andrea Michelle Goodwin | Counselor | 4 E. Village Mall, Cherokee Village, AR 72529 | 2009-03-30 |
| 1245484617 | David Brittingham | Case Manager/Care Coordinator | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-11-11 |
| 1164687687 | Nicole Skidmore | Case Manager/Care Coordinator | #4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-07-24 |
| Find all providers in zip 72529 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | CHEROKEE VILLAGE |
| Zip Code | 72529 |
Please comment or provide details below to improve the information on NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC.
| 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.