NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC (NPI# 1891263091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891263091 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC |
| Other Organization Name | MIDSOUTH HEALTH SYSTEMS |
| Practice Address |
623 N 9th St Ste 200 Augusta AR 72006-2103 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724000 |
| Mailing Fax Number | 8709724968 |
| Enumeration Date | 2018-11-06 |
| 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 |
|---|---|
| Midsouth 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 |
| 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 |
| 1750861688 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 107 Laurel St, Newport, AR 72112-3327 | 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 |
623 N 9TH ST STE 200 |
| City | AUGUSTA |
| State | AR |
| Zip Code | 72006-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861530362 | Wallace Jean Trice | Case Manager/Care Coordinator | 64 East Hwy, Augusta, AR 72006 | 2007-02-05 |
| 1275635542 | Arcare | Clinic/Center | 117 S 2nd St, Augusta, AR 72006 | 2006-09-05 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1013932714 | Steven F Collier Md Pa | Family Medicine | 106 South 2nd Street, Augusta, AR 72006 | 2006-07-13 |
| 1558396119 | Steve D Chason | Dentist | 216 S Second St, Augusta, AR 72006 | 2006-07-12 |
| 1790718906 | Jesse D Moore Md | Family Medicine | Highway 64 East, Augusta, AR 72006 | 2006-07-09 |
| 1053553024 | Jaime L Whitehead | Nurse Practitioner | 800 Main St, Augusta, AR 72006 | 2009-04-06 |
| 1023170305 | Katina Briscoe | Nurse Practitioner | 400 Highway 64 E, Augusta, AR 72006 | 2006-12-14 |
| 1578640785 | Doris R Wright | Pharmacy Technician | 111 Main Street, Cotton Plant, AR 72006 | 2006-11-01 |
| 1538268081 | Jaymie Frances Hopkins | Counselor | 623 N 9th Street, Augusta, AR 72006 | 2006-09-21 |
| Find all providers in zip 72006 | ||||
| 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 |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1497376792 | Bigivv | Community/Behavioral Health | 824 Hickman Rd Apt D32, Augusta, GA 30904-7108 | 2020-04-28 |
| 1871134478 | Nicole Mank, Lcsw, LLC | Community/Behavioral Health | 126 Western Ave # 1026, Augusta, ME 04330-7249 | 2019-10-04 |
| 1811492911 | Healing Elements LLC | Community/Behavioral Health | 6494 Sw 60th St, Augusta, KS 67010-7790 | 2018-03-29 |
| 1942713664 | Consuela Tangulia Wilds-glover | Community/Behavioral Health | 519 Pleasant Home Rd Ste C4, Augusta, GA 30907-0556 | 2017-11-16 |
| 1558874974 | Jenesis Consulting and Development | Community/Behavioral Health | 4274 Belair Frontage Rd Ste 1, Augusta, GA 30909-9428 | 2017-11-07 |
| 1891217824 | Many Waters Counseling, LLC | Community/Behavioral Health | 3540 Wheeler Rd Ste 210, Augusta, GA 30909-1879 | 2017-07-12 |
| 1649702739 | Tracey Taylor Carter | Community/Behavioral Health | 1265 Interstate Pkwy, Suite B, Augusta, GA 30909-6481 | 2017-03-29 |
| 1669918231 | Cj Foster Consulting | Community/Behavioral Health | 3031 Brockham Ct, Augusta, GA 30909-0629 | 2017-01-06 |
| 1679018964 | Greater Image Healthcare Corp | Community/Behavioral Health | 519 Pleasant Home Rd, Augusta, GA 30907-0544 | 2016-12-22 |
| Find all providers in AUGUSTA | ||||
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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.