JIMMIE BATES (NPI# 1578874616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578874616 |
| Entity Type | Individual |
| Full Name | JIMMIE BATES |
| Practice Address |
608 S Highway 65 82 Ste B Lake Village AR 71653-1743 |
| Mailing Address |
5537 Bleaux Ave Springdale AR 72762-0737 |
| Practice Telephone | 8702653711 |
| Practice Fax Number | 8702653707 |
| Mailing Telephone | 4798725580 |
| Mailing Fax Number | 4798725581 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
608 S HIGHWAY 65 82 STE B |
| City | LAKE VILLAGE |
| State | AR |
| Zip Code | 71653-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700036886 | Cathola Stewart | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2008-09-24 |
| 1194358523 | Southeast Rehab LLC | Rehabilitation Hospital | 608 S Highway 65 82, Lake Village, AR 71653-1743 | 2020-02-13 |
| 1952749384 | Cathy Nash | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2013-06-07 |
| 1508204934 | Mary A Sanders | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2013-06-07 |
| 1558709980 | Roderick Gill | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2013-06-07 |
| 1497193825 | Charlie Meredith | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2013-06-07 |
| 1255638383 | Laura Brooke Flemister-smith | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2011-02-25 |
| 1073825931 | Ronicia Johnson Cunningham | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2010-07-08 |
| 1649581786 | Joann Bates | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2010-06-23 |
| 1558672774 | Cheryl A Cole | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2010-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1861901985 | Chicot Memorial Medical Center | Clinic/Center | 2729 S. Hwy 65 82, Lake Village, AR 71653 | 2017-09-20 |
| 1326586173 | Mainline Health Systems, Inc | Clinic/Center | 360 A Hwy 82, Lake Village, AR 71653 | 2017-02-01 |
| 1508303124 | Mainline Health Systems, Inc | Clinic/Center | 360 A Highway 82, Lake Village, AR 71653 | 2017-01-20 |
| 1689120263 | Russell Medical Services Pllc | Family Medicine | 5071 Highway 82 E, Lake Village, AR 71653 | 2016-09-01 |
| 1528362035 | Hillman Chiropractic LLC | Chiropractor | 2819 Louis Sessions Dr., Lake Village, AR 71653 | 2010-12-28 |
| 1902113913 | Sheri K Bagwell | Counselor | 1127 Second St., Lake Village, AR 71653 | 2010-09-13 |
| 1205154044 | Arkansas Department of Health | Public Health or Welfare | 1742 Hwy 65 and 82 South, Lake Village, AR 71653 | 2010-05-04 |
| 1114259041 | William Jackson Weaver | General Practice | 1754 Lake Hall Road, Lake Village, AR 71653 | 2010-02-03 |
| 1821246992 | Maurenella Antionette Nelson | Social Worker | 1127 Second Street, Lake Village, AR 71653 | 2008-09-03 |
| Find all providers in zip 71653 | ||||
| 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 |
|---|---|---|---|---|
| 1255746988 | Angela Smith | Counselor | 1652 S Highway 65 82, Lake Village, AR 71653-1662 | 2014-06-20 |
| 1922388891 | Victoria Washington | Counselor | 605 S Highway 65 82 Ste B, Lake Village, AR 71653-1312 | 2011-08-24 |
| 1700036886 | Cathola Stewart | Counselor | 608 S Highway 65 82, Ste B, Lake Village, AR 71653-1743 | 2008-09-24 |
| 1417461120 | Devonte Jackson | Counselor | 1652 S Highway 65 82, Lake Village, AR 71653-1662 | 2017-11-17 |
| 1548774250 | Trinia Isaac | Counselor | 1652 S Highway 65 82, Lake Village, AR 71653-1662 | 2017-11-17 |
| 1215458161 | Jacqueline Lowe | Counselor | 1652 S Highway 65 82, Lake Village, AR 71653-1662 | 2017-06-30 |
| 1649791690 | Rachel Mitchell | Counselor | 1652 S Highway 65 82, Lake Village, AR 71653-1662 | 2017-06-29 |
| 1073045753 | Leatrice Powell | Counselor | 1652 S Highway 65 82, Lake Village, AR 71653-1662 | 2017-03-31 |
| 1164953766 | Brandi Lewis | Counselor | 1652 S Highway 65 82, Lake Village, AR 71653-1662 | 2017-03-24 |
| 1699128546 | Lekesha Love | Counselor | 1652 S Highway 65 82, Lake Village, AR 71653-1662 | 2016-07-15 |
| Find all providers in LAKE VILLAGE | ||||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
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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.