OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC. (NPI# 1972756419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972756419 |
| Entity Type | Organization |
| Organization Name | OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC. |
| Other Organization Name | COMMUNITY COUNSELING SERVICES, INC. |
| Practice Address |
1615 Martin Luther King Blvd Malvern AR 72104-2233 |
| Mailing Address |
125 Wellness Way Hot Springs AR 71913-6478 |
| Practice Telephone | 5013325236 |
| Practice Fax Number | 5016205109 |
| Mailing Telephone | 5016247111 |
| Mailing Fax Number | 5016205109 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | ROBERT GERSHON (CEO) |
| Authorized Official Telephone | 5016247111 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 116399726 | 05 |
| Other Name | Type Code |
|---|---|
| Community Counseling Services, Inc. | Doing Business As Name - Organization |
| Ouachita Behavioral Health and Wellness | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104392 | Ouachita Regional Counseling & Mental Health Center, Inc. | Clinic/Center | 128 S George Street, Mount Ida, AR 71957-9421 | 2020-01-31 |
| 1124659867 | Ouachita Regional Counseling & Mental Health Center, Inc. | Clinic/Center | 371 Highway 70 E Ste A, Glenwood, AR 71943-8832 | 2020-01-31 |
| 1821087123 | Ouachita Regional Counseling & Mental Health Center, Inc. | Pediatrics | 125 Wellness Way, Hot Springs, AR 71913-6478 | 2005-10-19 |
| 1699928135 | Ouachita Regional Counseling & Mental Health Center, Inc. | Clinic/Center | 205 N 26th St, Arkadelphia, AR 71923-4336 | 2008-10-28 |
| 1235382979 | Ouachita Regional Counseling & Mental Health Center, Inc. | Clinic/Center | 125 Wellness Way, Hot Springs, AR 71913-6478 | 2008-10-28 |
| Street Address |
1615 MARTIN LUTHER KING BLVD |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703389 | Lota M. Hardin | Counselor | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2006-01-06 |
| 1295346757 | Bonnie Lynn Mann | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2020-08-10 |
| 1245873710 | Johna Grant | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-10-28 |
| 1013567338 | Brittney Mcgriff | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-09-18 |
| 1598319303 | Shatoria Brianne Johnson | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-07-30 |
| 1841764040 | Maronica Howard | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2019-01-22 |
| 1962996413 | Mariah Brown | Counselor | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2018-06-19 |
| 1861984957 | Adela Hernandez | Social Worker | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2018-06-04 |
| 1104365824 | Ryan Zotz | Case Manager/Care Coordinator | 1615 Martin Luther King Blvd, Malvern, AR 72104-2233 | 2017-02-14 |
| 1154771483 | Brittany Olloway | Behavior Technician | 1615 Martin Luther King Blvd, Malvern, AR 72104 | 2016-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891811915 | Theraputic Family Services | Clinic/Center | 829 Halbert St., Malvern, AR 72104 | 2007-03-21 |
| 1639180805 | Tfs of Gurdon Inc | Clinic/Center | 829 Halbert St, Malvern, AR 72104-2607 | 2006-08-11 |
| 1861056327 | Devereux Foundation | Clinic/Center | 100 Deerfield Ln Ste 100, Malvern, PA 19355-2100 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1487272670 | Professional Counseling Associates Inc. | Clinic/Center | 977 East Cypress Street, Devalls Bluff, AR 72041 | 2020-07-14 |
| 1740807478 | Brighter Days Counseling and Wellness LLC | Clinic/Center | 100 Commercial Park Ct Apt 108, Maumelle, AR 72113-6986 | 2020-06-29 |
| 1861015745 | Counseling Associates, Inc. | Clinic/Center | 750 Boston St, Danville, AR 72833-7006 | 2020-05-26 |
| 1821610171 | Courageous Journey Psychological Services, LLC | Clinic/Center | 168 Bluefish Ave, Russellville, AR 72802-2407 | 2020-05-09 |
| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1487273199 | Restoring Hope Counseling and Consultation | Clinic/Center | 310 Mid Continent Plz Ste 325, West Memphis, AR 72301-1703 | 2020-04-13 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1417585019 | Positive Place Counseling and Consulting, LLC | Clinic/Center | 807 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
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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.