NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER (NPI# 1598916918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598916918 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER |
| Other Organization Name | MID-SOUTH HEALTH SYSTEMS |
| Practice Address |
2560 Old County Rd Pocahontas AR 72455-4118 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8708927111 |
| Mailing Fax Number | 8709724911 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2012-12-11 |
| Authorized Official Name | DONNIE LYERLY (PROVIDER CREDENTIALING) |
| Authorized Official Telephone | 8709724939 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 172105526 | 05 |
| Other Name | Type Code |
|---|---|
| Mid-South Health Systems | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1770803090 | Northeast Arkansas Community Mental Health Center | Counselor | 211 Missouri, Helena, AR 72342-3707 | 2010-06-09 |
| 1326299736 | Northeast Arkansas Community Mental Health Center | Counselor | 102 South Larkspur, Walnut Ridge, AR 72476-1736 | 2008-10-03 |
| 1104077676 | Northeast Arkansas Community Mental Health Center | Counselor | 602 David St, Corning, AR 72422-7268 | 2008-10-02 |
| 1275784746 | Northeast Arkansas Community Mental Health Center | Counselor | 1011 W Morgan St, Paragould, AR 72450-2850 | 2008-10-02 |
| 1699926154 | Northeast Arkansas Community Mental Health Center | Counselor | 3700 Access Road, Jonesboro, AR 72401-7238 | 2008-10-02 |
| 1225321110 | Northeast Arkansas Community Mental Health Center | Counselor | 444 Atkins Blvd, Marianna, AR 72360-2110 | 2011-05-25 |
| 1699068585 | Northeast Arkansas Community Mental Health Center | Counselor | 801 Newman Dr, Helena, AR 72342-8950 | 2011-05-25 |
| 1598058489 | Northeast Arkansas Community Mental Health Center | Counselor | 905 N 7th St, West Memphis, AR 72301-2001 | 2011-05-25 |
| 1396038287 | Northeast Arkansas Community Mental Health Center | Counselor | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2011-05-25 |
| Street Address |
2560 OLD COUNTY RD |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154964385 | Britany Danyel Jones | Case Manager/Care Coordinator | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2019-10-21 |
| 1356982706 | Shonna Loerna Gamso | Case Manager/Care Coordinator | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2019-10-07 |
| 1467017368 | Rachel Calk | Case Manager/Care Coordinator | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2019-05-06 |
| 1508331463 | Haley Lynette Lowery | Licensed Practical Nurse | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2018-10-08 |
| 1194209262 | Chasity Marie Neal | Counselor | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2018-09-24 |
| 1962998377 | Lauran Alexsandra Avery | Case Manager/Care Coordinator | 2560 Old County Rd, Pocahontas, AR 72455 | 2018-07-09 |
| 1386142891 | Cory Preston Kaczmarski | Case Manager/Care Coordinator | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2018-01-30 |
| 1174030324 | Mackenzie Taylor Collier | Licensed Practical Nurse | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2018-01-09 |
| 1225567043 | Stephanie Gryner | Social Worker | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2017-06-06 |
| 1770848798 | Ashley Morgan Range | Counselor | 2560 Old County Rd, Pocahontas, AR 72455-4118 | 2012-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| 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 | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER.
| 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.