TAYLER BRICKELL (NPI# 1033660071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033660071 |
| Entity Type | Individual |
| Full Name | TAYLER BRICKELL |
| Practice Address |
3401 Hwy 5 N Ste 2 Bryant AR 72019-9103 |
| Mailing Address |
513 Main St North Little Rock AR 72114-5329 |
| Practice Telephone | 5017775969 |
| Mailing Telephone | 5017775969 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2020-11-03 |
| 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 | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
3401 HWY 5 N STE 2 |
| City | BRYANT |
| State | AR |
| Zip Code | 72019-9103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| 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 |
|---|---|---|---|---|
| 1881121879 | Jennifer Duer | Counselor | 2604 Henson Pl, Bryant, AR 72022-9108 | 2017-05-22 |
| 1134318934 | Rebekkah Catherine Fortner | Counselor | 12100 Fieldstone Ln, M65, Bryant, AR 72022-4203 | 2007-10-17 |
| 1790814747 | Victoria Teresa Fortner IIi | Counselor | 12100 Fieldstone Ln Apt M65, Bryant, AR 72022-6257 | 2007-03-05 |
| 1386278844 | Sandra Kay Parks | Counselor | 408 Office Park Dr Ste 3, Bryant, AR 72022-7536 | 2020-02-24 |
| 1861846974 | Jennifer Gillis | Counselor | 200 Nw 4th St, Bryant, AR 72022 | 2016-04-15 |
| 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 |
| 1184236408 | Heather Rogero | Counselor | 990 Northpointe Dr, Mountain Home, AR 72653-8126 | 2020-08-18 |
| 1538779764 | Overcoming: A Private Therapy Practice, LLC | Counselor | 922 E Craighead Forest Rd Apt N, Jonesboro, AR 72404-8307 | 2020-08-03 |
| 1104442565 | Deandriea Bass-carrigan | Counselor | 1570 Rachel Dr, Conway, AR 72032-8619 | 2020-06-22 |
| 1134742133 | William Todd Institute for Family Wellness | Counselor | 1374 Highway 62 W, Pocahontas, AR 72455-3790 | 2020-05-26 |
| 1841810231 | Prosperity Hands Ministry | Counselor | 710 Sw Sterling Pl, Bentonville, AR 72712-7773 | 2020-04-26 |
| 1144860321 | Erica Ashton Sturgeon | Counselor | 411 W Poplar St, Rogers, AR 72756-4560 | 2020-01-15 |
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1396381927 | Eva Michelle Wood | Counselor | 19 N 5th St, Fort Smith, AR 72901-2137 | 2019-11-19 |
| 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.