CARADEE TREJO (NPI# 1750801353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750801353 |
| Entity Type | Individual |
| Full Name | CARADEE TREJO |
| Practice Address |
9219 Sibley Hole Rd Little Rock AR 72209-8874 |
| Mailing Address |
602 N Walton Blvd Bentonville AR 72712-4576 |
| Practice Telephone | 5015658501 |
| Practice Fax Number | 5015651219 |
| Mailing Telephone | 4794641060 |
| Mailing Fax Number | 4792716307 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| 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 |
| 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 |
| 1619511995 | Tyisha Mcqueen | Counselor | 9219 Sibley Hole Rd, Little Rock, AR 72209-8874 | 2019-10-30 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1811502305 | Gaye L Jones-washington | Counselor | 18411 Fawn Tree Dr, Little Rock, AR 72210-7131 | 2020-09-10 |
| 1811500606 | Amy Ballard Therapy, Pllc | Counselor | 2003 N Arthur St, Little Rock, AR 72207-3409 | 2020-08-31 |
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1093362006 | Dequita Crockett | Counselor | 300 S Rodney Parham Rd Ste 1-326, Little Rock, AR 72205-4747 | 2019-08-23 |
| 1043795958 | Jason M Andrews | Counselor | 11523 Kanis Rd Ste B, Little Rock, AR 72211-3788 | 2018-09-26 |
| 1013400738 | Lee Brown | Counselor | 1100 N University Ave Ste 260b, Little Rock, AR 72207-6367 | 2018-06-07 |
| 1316453426 | Dey'monet Carter | Counselor | 227 Beckwood Dr, Little Rock, AR 72205-2615 | 2017-12-27 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1619345246 | Erica Vinson | Counselor | 8 Shackleford Plz Ste 205, Little Rock, AR 72211-1853 | 2015-09-14 |
| 1508249087 | Shereeka Vickeres | Counselor | 9914 I 30, Little Rock, AR 72209-4201 | 2015-07-02 |
| 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.