JANICA HUMPHREY PATRICK (NPI# 1578945499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578945499 |
| Entity Type | Individual |
| Full Name | JANICA HUMPHREY PATRICK |
| Credential | PLMSW |
| Practice Address |
1704 Hwy 69 Trumann AR 72472 |
| Mailing Address |
1815 Pleasant Grove Road Jonesboro AR 72404 |
| Practice Telephone | 8704834003 |
| Practice Fax Number | 8704834009 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1704 HWY 69 |
| City | TRUMANN |
| State | AR |
| Zip Code | 72472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972995579 | Jimmy A Livengood | Case Manager/Care Coordinator | 1704 Hwy 69, Trumann, AR 72472 | 2015-02-19 |
| 1548665748 | Travis E. Woodruff Sr. | Case Manager/Care Coordinator | 1704 Hwy 69, Trumann, AR 72472 | 2014-10-30 |
| 1376945212 | Amanda Mae Saliba | Case Manager/Care Coordinator | 1704 Hwy 69, Trumann, AR 72472 | 2014-09-23 |
| 1760820773 | Bridgette Wilson | Case Manager/Care Coordinator | 1704 Hwy 69, Trumann, AR 72472 | 2013-06-12 |
| 1588926430 | Angel Rush | Case Manager/Care Coordinator | 1704 Hwy 69, Trumann, AR 72472 | 2012-06-15 |
| 1083988869 | Katricia Elugbe | Case Manager/Care Coordinator | 1704 Hwy 69, Trumann, AR 72472 | 2012-02-27 |
| 1710126149 | Susan Michelle Short | Day Training/Habilitation Specialist | 1704 Hwy 69, Trumann, AR 72472 | 2009-02-09 |
| 1437312006 | Marie Ann Sears | Case Manager/Care Coordinator | 1704 Hwy 69, Trumann, AR 72472 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039980 | First Step Arkansas, LLC | Occupational Therapist | 528 Industrial Park Access Rd, Trumann, AR 72472 | 2020-06-26 |
| 1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
| 1760992911 | Lorraine Irene Devries | Technician | 1316 Industrial Acess Drive, Trumann, AR 72472 | 2017-10-02 |
| 1902326226 | Logan Michael Schmidt | Dentist | 1711 Hwy 69 Blvd, Trumann, AR 72472 | 2017-06-27 |
| 1619228830 | Daniel Edward Ward | Case Manager/Care Coordinator | 1704 Hwy, 69, Trumann, AR 72472 | 2012-09-27 |
| 1003197542 | Mashae D. Rolland | Nurse Practitioner | 808 Highway 463 N, Trumann, AR 72472 | 2011-08-29 |
| 1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
| 1134410467 | Dalisha Lareece Smith | Clinical Ethicist | 1704 Hwy. 69, Trumann, AR 72472 | 2011-04-20 |
| 1164727202 | Margaret Ann Peters | Case Manager/Care Coordinator | 809 West Main Suite C, Trumann, AR 72472 | 2011-01-21 |
| 1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
| Find all providers in zip 72472 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
| 1699942284 | Courtney Johnson | Counselor | 809 W Main St Ste C, Trumann, AR 72472-2634 | 2008-05-13 |
| 1679623763 | Evelyn Lorisa Taylor | Counselor | 1704 Hwy 69 West, Trumann, AR 72472-2029 | 2007-01-11 |
| 1356991343 | Jodiee Grubbs | Counselor | 809 W Main St Ste C-d, Trumann, AR 72472-2611 | 2019-09-12 |
| 1548745706 | Casondra Allen | Counselor | 809 W Main St Ste C-d, Trumann, AR 72472-2611 | 2018-10-03 |
| 1669985115 | Mariel Diaz | Counselor | 809 W Main St Ste C, Trumann, AR 72472-2634 | 2017-11-07 |
| 1720319346 | Timothy Robert Mayfield | Counselor | 1704 Hwy 69 West, Trumann, AR 72472-2029 | 2010-01-21 |
| 1538318910 | Melinda Elrod | Counselor | 417 W Main St, Suite 100, Trumann, AR 72472-3116 | 2008-09-10 |
| 1255580692 | Jessica Sue Gordon | Counselor | 417 W Main St, Suite B, Trumann, AR 72472-3116 | 2008-09-10 |
| 1689823023 | Heather Kristin Bryan | Counselor | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2008-09-10 |
| Find all providers in TRUMANN | ||||
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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.