TYISHA MCQUEEN (NPI# 1619511995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619511995 |
| Entity Type | Individual |
| Full Name | TYISHA MCQUEEN |
| Credential | QBHP |
| Practice Address |
9219 Sibley Hole Rd Little Rock AR 72209-8874 |
| Mailing Address |
505 W Grand Ave Hot Springs AR 71901-3931 |
| Practice Telephone | 5015658501 |
| Mailing Telephone | 5016233700 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
9219 SIBLEY HOLE RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-8874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730238049 | Recovery Centers of Arkansas, Inc. | Substance Abuse Rehabilitation Facility | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2007-01-09 |
| 1114569167 | Tonika Ludell Collins | Nurse Practitioner | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2019-10-10 |
| 1588185870 | Thia Stocker | Counselor | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2017-06-28 |
| 1750801353 | Caradee Trejo | Counselor | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2017-06-23 |
| 1295266807 | Asha Jones | Counselor | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2017-03-24 |
| 1801336268 | Kharisma Boyd | Case Manager/Care Coordinator | 9219 Sibley Hole Rd, Little Rock, AR 72209 | 2017-03-06 |
| 1871035030 | Chanika Madhushani Alwis Thelikada Palliya Guruge | Registered Nurse | 9219 Sibley Hole Rd, Building B, Little Rock, AR 72209-8874 | 2016-11-04 |
| 1649726639 | Preferred Family Health Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2016-08-30 |
| 1184860942 | Rhonda Lashelle Johnson | Counselor | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2008-12-29 |
| 1497915045 | Georgia Anderson | Counselor | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803988 | M-pacting Youth and Families Inc | Case Manager/Care Coordinator | 4001 Cobb St, Little Rock, AR 72204-7444 | 2019-04-18 |
| 1568921211 | Derrick Hunter | Case Manager/Care Coordinator | 10025 W. Markham St Ste 150, Little Rock, AR 72205-2178 | 2019-03-12 |
| 1447720115 | Leslie Ross | Case Manager/Care Coordinator | 1 Lile Ct Ste 201, Little Rock, AR 72205-6242 | 2018-11-26 |
| 1740785823 | Lataveya Vault | Case Manager/Care Coordinator | 10025 W Markham St Ste 150, Little Rock, AR 72205-1416 | 2018-03-29 |
| 1346759982 | Rekia Shanette Porchia | Case Manager/Care Coordinator | 61 Purdue Cir, Little Rock, AR 72204-5949 | 2017-09-27 |
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1639616162 | Jasmine Ford | Case Manager/Care Coordinator | 1100 N. University, 200, Little Rock, AR 72207-3549 | 2017-01-23 |
| 1447709639 | Cecil Ray Chew Jr. | Case Manager/Care Coordinator | 5 Falcon Ct Apt 4, Little Rock, AR 72210-4425 | 2016-09-28 |
| 1508310038 | Tennille Hill | Case Manager/Care Coordinator | 5517 Western Ln, Little Rock, AR 72209-1957 | 2016-08-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
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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.