NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC (NPI# 1750861688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750861688 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC |
| Other Organization Name | MID SOUTH HEALTH SYSTEMS |
| Practice Address |
107 Laurel St Newport AR 72112-3327 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724900 |
| Mailing Fax Number | 8709724968 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | CARLA JONES (OFFICE MANAGER) |
| Authorized Official Telephone | 8709724000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| MID SOUTH HEALTH SYSTEMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1396396859 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 837 Willett Road, Jonesboro, AR 72401 | 2019-09-26 |
| 1265908263 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-10-17 |
| 1790265593 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 637 East Main St, Melbourne, AR 72556 | 2018-08-21 |
| 1477033322 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 33 Choctaw Trce, Cherokee Village, AR 72529-2702 | 2018-08-20 |
| 1972083806 | Northeast Arkansas Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2018-08-20 |
| 1649750597 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 642 N Main St, Salem, AR 72576-9450 | 2018-08-20 |
| 1336118207 | Northeast Arkansas Community Mental Health Center Inc | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-03-14 |
| Street Address |
107 LAUREL ST |
| City | NEWPORT |
| State | AR |
| Zip Code | 72112-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750514840 | Ralph Irwin Wray | Counselor | 107 Laurel St, Newport, AR 72112 | 2009-08-24 |
| 1023251907 | Stephen J. Graham Jr. | Case Manager/Care Coordinator | 107 Laurel St, Newport, AR 72112 | 2009-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447749437 | Amie Burrow | Nurse Practitioner | 300 Corrections Drive, Newport, AR 72112 | 2018-05-04 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1285188789 | Jasmine Mansko | Speech-Language Pathologist | 1128 S Main St, Newport, AR 72112 | 2016-08-12 |
| 1366831877 | Madison Eddington | Physical Therapy Assistant | 1807 Jetta Drive, Newport, AR 72112 | 2015-01-21 |
| 1952558264 | Maxus Inc | Counselor | 2000 Mclain, Suite B, Newport, AR 72112 | 2008-08-19 |
| 1275748725 | Troy Larry Vincent Sr. | Counselor | 1507 N. Pecan St., Newport, AR 72112 | 2007-05-10 |
| 1114065083 | Deanna Dawn Browning | Case Manager/Care Coordinator | 1509 N Pecan St, Newport, AR 72112 | 2007-02-02 |
| 1295895670 | Allene Cummings | Social Worker | 1507 North Pecan Street, Newport, AR 72112 | 2006-12-08 |
| 1295801207 | Brandy Diane Young | Speech-Language Pathologist | 221 Lindley Lane, Newport, AR 72112 | 2006-11-28 |
| 1578659132 | William C. Cobb, M.d., P.a. | Internal Medicine | 1117 Mclain Street, Newport, AR 72112 | 2006-10-04 |
| Find all providers in zip 72112 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003323221 | Kathlyn Heckart LLC | Community/Behavioral Health | 38 Bellevue Ave Ste J, Newport, RI 02840-3260 | 2018-01-09 |
| 1275889297 | Le'chris Counseling Services, Inc. | Community/Behavioral Health | 219 Chatham St, Newport, NC 28570-8514 | 2012-07-27 |
| 1538477732 | Big E's Handicap Riding Academy | Community/Behavioral Health | 901 Live Oak Dr, Newport, AR 72112-2913 | 2010-09-22 |
| 1174751234 | Monarch | Community/Behavioral Health | 2331 N Lakeview Dr, Newport, NC 28570-8549 | 2009-06-29 |
| 1609025899 | Action Behavioral Consulting LLC | Community/Behavioral Health | 26 Perry St, Unit 2, Newport, RI 02840-4052 | 2008-09-12 |
| 1437313285 | Newport Church of The Nazarene | Community/Behavioral Health | 244 Nw 12th St, Newport, OR 97365-3210 | 2008-07-10 |
| 1912189978 | Discovery Counseling, Inc. | Community/Behavioral Health | 1666 N Coast Hwy, Newport, OR 97365-2357 | 2007-12-02 |
| 1770024606 | Pacific Counseling Services | Community/Behavioral Health | 607 Sw Hurbert St, 103, Newport, OR 97365-4998 | 2017-03-10 |
| 1811434251 | Action Behavioral Consulting L.lc. | Community/Behavioral Health | 26 Perry St, Unit 2, Newport, RI 02840-4052 | 2017-01-24 |
| 1053853564 | New Insights Counseling, LLC | Community/Behavioral Health | 29 Colfax St, Newport, VT 05855-5511 | 2016-11-15 |
| Find all providers in NEWPORT | ||||
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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.