MR. JOHN ECK PENDERGIST (NPI# 1689796187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689796187 |
| Entity Type | Individual |
| Full Name | MR. JOHN ECK PENDERGIST |
| Credential | LPC |
| Practice Address |
2304 Barkman St Arkadelphia AR 71923-4317 |
| Practice Telephone | 8705686196 |
| Mailing Telephone | 8705686196 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P9704007 | AR | Behavioral Health & Social Service Providers |
| Street Address |
2304 BARKMAN ST |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164838660 | Ashley L Hunter | Counselor | 2306 Barkman St, Arkadelphia, AR 71923-4317 | 2014-07-03 |
| 1184857369 | Kenyon Mark Mosher | Counselor | 2503 Pine St Ste 4, Arkadelphia, AR 71923-4368 | 2009-09-03 |
| 1144417171 | Adam Nicholas Maisen | Counselor | 2911 Pine St Ste B, Arkadelphia, AR 71923-5322 | 2007-10-03 |
| 1700093812 | Amber Nicole Taylor | Counselor | 960 N 8th St, Arkadelphia, AR 71923-3202 | 2007-05-17 |
| 1134243579 | Maxus Inc. | Counselor | 2425 Country Club Road, Arkadelphia, AR 71923-4731 | 2007-03-19 |
| 1992839815 | Ralph Blair Olson | Counselor | 1421 Wilson St, Arkadelphia, AR 71923-4660 | 2007-03-15 |
| 1013546654 | Mandy Jo Davis | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-04-06 |
| 1679136907 | David William Lusher | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-04-22 |
| 1790266872 | China Elaine Scott | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2018-08-27 |
| 1679079990 | Christine Marie Dickson | Counselor | 205 N 26th St, Arkadelphia, AR 71923 | 2018-04-04 |
| Find all providers in ARKADELPHIA | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
Please comment or provide details below to improve the information on MR. JOHN ECK PENDERGIST.
| 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.