MS. RENITA J. PHILLEY (NPI# 1548232242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548232242 |
| Entity Type | Individual |
| Full Name | MS. RENITA J. PHILLEY |
| Credential | L.P.E. |
| Practice Address |
700 South Ave Hot Springs AR 71913-3423 |
| Mailing Address |
Po Box 6399 Hot Springs AR 71902-6399 |
| Practice Telephone | 5016205139 |
| Practice Fax Number | 5016205109 |
| Mailing Telephone | 5016205139 |
| Mailing Fax Number | 5016205109 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 88-19E | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS & BLUE SHIELD | 5X635 | 01 |
| Street Address |
700 SOUTH AVE |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285606293 | Rissa D. Shearer | Counselor | 700 South Ave, Hot Springs, AR 71913-3423 | 2006-02-03 |
| 1477611820 | Susan Jeannine Banning | Registered Nurse | 700 South Ave, Hot Springs, AR 71913-3423 | 2006-12-05 |
| 1023184108 | Joy Ann Goines | Licensed Practical Nurse | 700 South Ave, Hot Springs, AR 71913-3423 | 2006-11-28 |
| 1124041736 | Karen M Hinerman | Pharmacist | 700 South Ave, Hot Springs, AR 71913-3423 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730628074 | Fannie Beatrice Wallace | Counselor | 104 Sonnet St, Hot Springs, AR 71913-4437 | 2017-02-20 |
| 1780987362 | Jason Waller | Counselor | 106b Shadow Peak Ln, Hot Springs, AR 71913-2376 | 2010-12-21 |
| 1104066299 | Kimberly R Ellis | Counselor | 307 Carpenter Dam Rd Ste B, Hot Springs, AR 71901-8282 | 2009-03-02 |
| 1053566877 | Nicholas Scott Ward | Counselor | 1820 Central Ave Ste B, Hot Springs, AR 71901 | 2008-11-20 |
| 1609046762 | Isabelle Denton Staggs | Counselor | 219 Woodbine St, Hot Springs, AR 71901-5122 | 2008-03-05 |
| 1366560369 | Philip A Prewett | Counselor | 106 Ridgeway St, Suite G & H, Hot Springs, AR 71901-7100 | 2007-03-27 |
| 1982782157 | Margaret Catherine Stueart | Counselor | 929 Airport Rd Ste 201, Hot Springs, AR 71913-4623 | 2006-11-02 |
| 1568551323 | Debra A Webb | Counselor | 5963 Central Ave, Hot Springs, AR 71913-9649 | 2006-10-12 |
| 1134218902 | Delores J Dunphy | Counselor | 312 W Saint Louis St, Hot Springs, AR 71913-4406 | 2006-10-12 |
| 1093722415 | Catherine L Coon | Counselor | 1208 Richard St, Hot Springs, AR 71913-5621 | 2006-08-01 |
| Find all providers in HOT SPRINGS | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
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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.