MALISSA EPHLIN (NPI# 1700242211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700242211 |
| Entity Type | Individual |
| Full Name | MALISSA EPHLIN |
| Practice Address |
1487 W Keiser Ave Osceola AR 72370-2806 |
| Mailing Address |
1217 Stone St Jonesboro AR 72401-4520 |
| Practice Telephone | 8705634500 |
| Practice Fax Number | 8705634501 |
| Mailing Telephone | 8709721268 |
| Mailing Fax Number | 8709340487 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154356726 | 05 |
| Street Address |
1487 W KEISER AVE |
| City | OSCEOLA |
| State | AR |
| Zip Code | 72370-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275700940 | Quotia Holland | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-13 |
| 1841773223 | Alyssa Sikora | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2018-09-11 |
| 1316427727 | Keelee Brielle Holladay | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2018-08-15 |
| 1265970693 | Adrian Jones | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2017-02-06 |
| 1508239765 | Michelle Chapman | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2015-11-09 |
| 1194116269 | Terri Covington | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2015-02-11 |
| 1841681061 | Reginald Matthew Ross | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2015-02-10 |
| 1558601781 | Ollie Cox IIi | Counselor | 1487 W Keiser Ave, Suite 1, Osceola, AR 72370-2806 | 2013-02-25 |
| 1265789465 | Terry Mae Cooper | Social Worker | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2012-08-07 |
| 1124374467 | Toyia Renae Diamond | Case Manager/Care Coordinator | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2012-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417411570 | Southern Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 922 West Kizer St., Osceola, AR 72370 | 2019-01-23 |
| 1831431733 | Shaquata Davis | Social Worker | 1487 West Keiser Ave. Suite 1, Osceola, AR 72370 | 2013-03-19 |
| 1821348855 | Mary Kathryn Campbell | Speech-Language Pathologist | 315 E Union, Osceola, AR 72370 | 2012-09-18 |
| 1518230697 | Nikki D Moore | Case Manager/Care Coordinator | 1487 West Keiser Ave Ste I, Osceola, AR 72370 | 2012-02-20 |
| 1134497845 | Tim Allen | Case Manager/Care Coordinator | 3201 W. Keiser Ave., Osceola, AR 72370 | 2011-12-08 |
| 1184929663 | Gail Renee Barger | Counselor | 3201 West Keiser, Osceola, AR 72370 | 2011-01-14 |
| 1134423833 | Donna Susan Richmond | Speech-Language Pathologist | 1866 S Hwy 77, Osceola, AR 72370 | 2011-01-10 |
| 1972807592 | Meredith Annette Harris | Case Manager/Care Coordinator | 3201 West Keiser Ave, Osceola, AR 72370 | 2010-12-23 |
| 1093018871 | Tabatha G Bingham | Case Manager/Care Coordinator | 3201 W. Keiser, Osceola, AR 72370 | 2010-12-16 |
| 1588974109 | Sheila Lynette Rumph | Case Manager/Care Coordinator | 1487 W. Keiser Ave. Suite 1, Osceola, AR 72370 | 2010-10-15 |
| Find all providers in zip 72370 | ||||
| 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 |
|---|---|---|---|---|
| 1669802823 | Paul Bailey IIi | Counselor | 1487 W Keiser Ave # 1, Osceola, AR 72370-2806 | 2013-11-25 |
| 1831481605 | Team Restoration Ministries, LLC | Counselor | 1473 195th Ave, Osceola, IA 50213-8222 | 2011-05-11 |
| 1235463902 | Tiffany J Forte | Counselor | 55810 Wynnewood Dr, Osceola, IN 46561-9517 | 2009-09-28 |
| 1366532103 | Families, Inc. of Arkansas | Counselor | 3201 W. Keiser Drive, Osceola, AR 72370 | 2006-10-13 |
| 1962027862 | Kayla Cumpton | Counselor | 855 Arduser Dr, Osceola, MO 64776-6278 | 2020-06-16 |
| 1700366382 | Anna Walker Willoughby | Counselor | 3201 W Keiser, Osceola, AR 72370-3467 | 2018-08-14 |
| 1124563234 | Latasha Lee Dawson | Counselor | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2016-12-28 |
| 1225404569 | Kimberly Dawn Tomblin | Counselor | 3201 W Keiser Ave, Osceola, AR 72370-3467 | 2015-08-20 |
| 1083873012 | Bridgette Fielder | Counselor | 3201 W. Keiser Ave, Osceola, AR 72370-3467 | 2008-06-05 |
| 1386811800 | Paula Morse | Counselor | 1487 W Keiser Ave, Osceola, AR 72370-2806 | 2008-05-14 |
| Find all providers in OSCEOLA | ||||
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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.