MR. RICHARD WAYNE IRVIN II (NPI# 1659521771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659521771 |
| Entity Type | Individual |
| Full Name | MR. RICHARD WAYNE IRVIN II |
| Credential | LPN, MHPP |
| Practice Address |
1817 Woodsprings Rd Ste G Jonesboro AR 72401-0903 |
| Mailing Address |
5537 Bleaux Ave Springdale AR 72762-0737 |
| Practice Telephone | 8709349800 |
| Practice Fax Number | 8709348463 |
| Mailing Telephone | 4798725580 |
| Mailing Fax Number | 4798725581 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | L45386 | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598719775 | Richard Lynn Irvin | Internal Medicine | 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 | 2006-05-20 |
| 1083603336 | Richard A Irvin | Family Medicine | 2129 National Rd, Wheeling, WV 26003-5247 | 2005-10-19 |
| Street Address |
1817 WOODSPRINGS RD STE G |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-0903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376676692 | Melanie Volner | Counselor | 1817 Woodsprings Rd, Suite F & G, Jonesboro, AR 72401-0903 | 2007-03-14 |
| 1538698881 | Tameka Dollison | Counselor | 1817 Woodsprings Rd, Jonesboro, AR 72401-0903 | 2017-06-09 |
| 1801248869 | Lawandra Jackson | Counselor | 1817 Woodsprings Rd, Jonesboro, AR 72401-0903 | 2016-07-01 |
| 1457703415 | Hannah Forwe | Counselor | 1817 Woodsprings Rd, Jonesboro, AR 72401-0903 | 2016-07-01 |
| 1063888428 | Yuri Graham | Counselor | 1817 Woodsprings Rd, Jonesboro, AR 72401-0903 | 2015-08-19 |
| 1548643943 | Destiny Warner | Counselor | 1817 Woodsprings Rd, Jonesboro, AR 72401-0903 | 2015-07-02 |
| 1801212816 | Heather Smith | Counselor | 1817 Woodsprings Rd, Jonesboro, AR 72401-0903 | 2014-03-14 |
| 1184045189 | Corina Ramirez | Counselor | 1817 Woodsprings Rd, Ste G, Jonesboro, AR 72401-0903 | 2013-12-18 |
| 1558707356 | Adam Lewis Patterson | Counselor | 1817 Woodsprings Rd, Ste G, Jonesboro, AR 72401-0903 | 2013-05-20 |
| 1407292204 | Gregory D Roberson | Counselor | 1817 Woodsprings Rd, Ste G, Jonesboro, AR 72401-0903 | 2013-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1538779764 | Overcoming: A Private Therapy Practice, LLC | Counselor | 922 E Craighead Forest Rd Apt N, Jonesboro, AR 72404-8307 | 2020-08-03 |
| 1992346746 | June Paulette Edwards | Counselor | 7697 Highland Park Dr, Jonesboro, GA 30236-2771 | 2019-10-02 |
| 1841758307 | Ericka L Williams | Counselor | 118 North Ave Ste K, Jonesboro, GA 30236-8408 | 2019-03-04 |
| 1366950958 | Connections Counseling Center | Counselor | 300 Mardis Dr, Jonesboro, AR 72404-0525 | 2018-01-17 |
| 1912432188 | Wakako Minamotowood | Counselor | 7744 Newbury Dr, Jonesboro, GA 30236-7312 | 2017-04-25 |
| 1992162358 | Donna K. Batchelor-coleman | Counselor | 1557 Teal Pl, Jonesboro, GA 30236-5055 | 2016-01-15 |
| 1770974461 | Faith Open Door Community Center, Inc. | Counselor | 259 Arrowhead Blvd, C2, Jonesboro, GA 30236-1167 | 2015-02-17 |
| 1639504988 | Taelor F. Blankenship | Counselor | 3700 Access Rd, Jonesboro, AR 72401-8225 | 2013-09-05 |
| 1508112269 | Barbara Jean Beeler | Counselor | 8955 Fayetteville Rd, Jonesboro, GA 30238-4815 | 2012-07-31 |
| 1538461546 | Positive Psychotherapy Services | Counselor | 1504 Merrywood Dr, Jonesboro, AR 72401-5107 | 2010-11-23 |
| Find all providers in JONESBORO | ||||
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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.