KATHRYN ELISE SHORT (NPI# 1568778017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568778017 |
| Entity Type | Individual |
| Full Name | KATHRYN ELISE SHORT |
| Credential | LPC |
| Practice Address |
3805 Mccain Park Dr Ste 112 North Little Rock AR 72116 |
| Mailing Address |
3805 Mccain Park Dr Ste 112 North Little Rock AR 72116-7813 |
| Practice Telephone | 5013509621 |
| Mailing Telephone | 5013509621 |
| Enumeration Date | 2010-08-22 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10025 West Markham St, Ste. 210, Little Rock, AR 72205 | 5016635473 | 5018011816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013259878 | Kathryn Elizabeth Short | Counselor | 15 Harris St, Greenville, SC 29601-3513 | 2013-03-20 |
| 1730636309 | Kathryn Short | Registered Nurse | 2951 Maple Ave, Zanesville, OH 43701-1406 | 2016-09-01 |
| Street Address |
3805 MCCAIN PARK DR STE 112 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1720570542 | 501 Counseling, Pllc | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116-7813 | 2018-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509997 | Dickerson Family Resource Center, LLC | Counselor | 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 | 2020-05-11 |
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| 1427236165 | Walker Orthodontics, Inc | Dentist | 200 South University Suite 200, Little Rock, AR 72116 | 2008-02-05 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1922548056 | Edayshia Tanks | Counselor | 628 W Broadway St # 2, North Little Rock, AR 72114-5544 | 2017-03-08 |
| 1649684804 | Rodrick James Crutchfield I | Counselor | 632 W Broadway St, North Little Rock, AR 72114-5526 | 2014-06-16 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1578846713 | James Allen Jr. | Counselor | 4620 W Commercial Dr, Suite C, North Little Rock, AR 72116-7057 | 2011-09-23 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1215181565 | Jerilyn Kay Wasson | Counselor | 1221 Kierre Loop, North Little Rock, AR 72116-3726 | 2008-11-13 |
| 1881719052 | Maxus Inc | Counselor | 632 W Broadway, North Little Rock, AR 72114 | 2007-03-20 |
| 1457402893 | Kimberly Ann Newton | Counselor | 4107 Richards Rd, North Little Rock, AR 72117-2653 | 2007-01-14 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on KATHRYN ELISE SHORT.
| 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.